Individual
CHRISTINA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 DOLORES DR, VALLEY STREAM, NY 11581-2508
(917) 842-4973
Mailing address
44 DOLORES DR, VALLEY STREAM, NY 11581-2508
(917) 842-4973
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016688
NY
Other
Enumeration date
06/13/2008
Last updated
01/11/2017
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