Individual
CHRISTINA ASHLEY SCIAMMARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
104 PARK AVE, LINDENHURST, NY 11757-5211
(631) 456-1913
Mailing address
104 PARK AVE, LINDENHURST, NY 11757-5211
(631) 456-1913
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
936220151
NY
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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