Individual
CHRISTINE BRUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
627 MCKINLEY RD, PALATINE BRIDGE, NY 13428-2210
(518) 810-1130
Mailing address
627 MCKINLEY RD, PALATINE BRIDGE, NY 13428-2210
(518) 810-1130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011685
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011685
—
NY
Enumeration date
09/20/2006
Last updated
03/25/2013
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