Individual
CHRISTINA DIMITRA VAFIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 W SUFFOLK AVE FL 2, CENTRAL ISLIP, NY 11722-2156
(631) 582-2228
Mailing address
45 W SUFFOLK AVE STE 200, CENTRAL ISLIP, NY 11722-2156
(631) 582-2228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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