Individual
MS. CHRISTINA MICHAELIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.SPED
Contact information
Practice address
255 EXECUTIVE DR, PLAINVIEW, NY 11803-1718
(516) 349-0961
Mailing address
2572 12TH ST, ASTORIA, NY 11102-3726
(917) 817-6978
(718) 925-0360
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1678668
NY
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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