Individual
CHRISTINE CONDRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
4885 ROUTE 9, STAATSBURG, NY 12580-6028
(845) 802-4896
Mailing address
PO BOX 297, STANFORDVILLE, NY 12581-0297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
58021824
NY
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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