Individual
CHRISTINE FESSENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 COOPER AVE, STATEN ISLAND, NY 10305-1344
(718) 979-2020
Mailing address
50 COOPER AVE, STATEN ISLAND, NY 10305-1344
(718) 979-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
00008611
NY
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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