Individual
DR. KRISTINE JEANNE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
119 N OCEAN AVE, PATCHOGUE, NY 11772-2018
(631) 475-0454
Mailing address
40 W 4TH ST APT 169, PATCHOGUE, NY 11772-2134
(631) 730-1987
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001978
NY
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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