Individual
CHRISTINE MONGIARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
45 CROSSWAY E, BOHEMIA, NY 11716-1204
(631) 585-0100
Mailing address
45 CROSSWAY E, BOHEMIA, NY 11716-1204
(631) 585-0100
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
259932-1
NY
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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