Individual
CHRISTINE MIRODDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
25 N YEW ST, GLEN COVE, NY 11542-1435
(631) 561-9952
Mailing address
25 N YEW ST, 101, GLEN COVE, NY 11542-1435
(631) 561-9952
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022126
NY
Other
Enumeration date
07/05/2012
Last updated
12/30/2016
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