Individual
CHRISTINE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2171 JERICHO TPKE, SUITE 340, COMMACK, NY 11725-2937
(631) 499-5595
Mailing address
37 UNIVERSITY DR, SETAUKET, NY 11733-1133
(631) 751-2356
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014650
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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