Individual
MISS CHRISTINA J DENICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 SOUTH AVE STE LL2, STATEN ISLAND, NY 10314-3430
(718) 477-0961
Mailing address
1000 SOUTH AVE STE LL2, STATEN ISLAND, NY 10314-3430
(718) 477-0961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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