Individual
CHRISTINA ROSE PETKANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8015 LEFFERTS BLVD STE 2F, KEW GARDENS, NY 11415-1738
(718) 880-2468
Mailing address
38 PRINCE LN, WESTBURY, NY 11590-6244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
036359
NY
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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