Individual
CRISTINA KOLITSOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 370-2000
Mailing address
1869 WASHINGTON AVE, SEAFORD, NY 11783-1952
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
592357121
NY
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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