Individual
KRYSTINA CENTENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
727 N BROADWAY STE C1, MASSAPEQUA, NY 11758-2348
(516) 430-4226
(631) 938-9119
Mailing address
727 N BROADWAY STE C1, MASSAPEQUA, NY 11758-2348
(516) 430-4226
(631) 938-9119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
Other
Enumeration date
07/08/2025
Last updated
04/24/2026
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