Individual
CHRISTINE MARIE DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 E MASEM SQ, EAST PATCHOGUE, NY 11772-5631
(631) 291-2600
Mailing address
32 E MASEM SQ, EAST PATCHOGUE, NY 11772-5631
(631) 291-2600
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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