Individual
CHRISTINA ANTOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E CHERRY ST, HICKSVILLE, NY 11801-4302
(516) 572-1704
Mailing address
480 BROOKSIDE AVE, ROOSEVELT, NY 11575-1326
(516) 996-5389
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318452
NY
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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