Individual
MRS. CHRISTINE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N ELM ST, NORTH MASSAPEQUA, NY 11758-2647
(516) 776-0434
Mailing address
120 N ELM ST, NORTH MASSAPEQUA, NY 11758-2647
(516) 776-0434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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