Individual
MRS. CHRISTINA ANN HEERKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 BROAD ST, WILLISTON PARK, NY 11596-1308
(718) 640-5918
Mailing address
208 BROAD ST, WILLISTON PARK, NY 11596-1308
(718) 640-5918
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0155521
NY
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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