Individual
CHRISTINA MANOLATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21502 23RD RD, BAYSIDE, NY 11360-2228
(917) 287-6959
Mailing address
21502 23RD RD, BAYSIDE, NY 11360-2228
(718) 899-9060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
07/14/2020
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