Individual
DR. CHRISTINE MARIE ITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
50 W 90TH ST, D4, NEW YORK, NY 10024-1524
(212) 799-4760
Mailing address
30TH AVENUE AND 75TH STREET, THE LEXINGTON CENTER FOR MENTAL HEALTH SERVICES, INC., JACKSON HTS., NY 11370-1472
(718) 350-3251
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
069518011
NY
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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