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Individual

MRS. CHRISTINE LOUGHLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1206
Mailing address
590 N SUFFOLK AVE, MASSAPEQUA, NY 11758-3249
(516) 797-4767

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005953-1
NY

Other

Enumeration date
05/13/2008
Last updated
05/13/2008
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