Individual
CHRISTINA ELISE REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 215-3346
Mailing address
374 DARE RD, SELDEN, NY 11784-1418
(631) 681-6034
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
1729575231
NY
Other
Enumeration date
01/05/2015
Last updated
01/29/2026
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