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Individual

CHRISTINE ROSE SURAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
155 TOMPKINS AVE, STATEN ISLAND, NY 10304-2601
(718) 273-8622
Mailing address
133 CLINTON B FISKE AVE, STATEN ISLAND, NY 10314-2216
(718) 702-6934

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
029544
NY

Other

Enumeration date
02/10/2020
Last updated
02/10/2020
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