Individual
CHRISTIANE STALLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 POPLAR AVENUE, FARMINGDALE, NY 11735-5927
(516) 503-1926
Mailing address
16 POPLAR AVENUE, FARMINGDALE, NY 11735-5927
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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