Individual
MISS CHRISTINA CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 94TH ST, ELMHURST, NY 11373-4635
(728) 271-1021
Mailing address
4536 248TH ST, LITTLE NECK, NY 11362-1250
(917) 723-8129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2017
Last updated
09/15/2018
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