Individual
CHRISTINE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
22317 104TH AVE, QUEENS VILLAGE, NY 11429-2107
(646) 852-0931
Mailing address
22317 104TH AVE, QUEENS VILLAGE, NY 11429-2107
(646) 852-0931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
553341041
NY
Other
Enumeration date
08/06/2012
Last updated
08/10/2012
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