Individual
CHRISTINA ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 C C CAMP RD, MIDDLEBURGH, NY 12122-5225
(917) 363-5220
(917) 363-5220
Mailing address
136 C C CAMP RD, MIDDLEBURGH, NY 12122-5225
(917) 363-5220
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/28/2018
Last updated
01/28/2018
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