Individual
CRISTINA FANITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 630-3605
Mailing address
4915 SKILLMAN AVE, APT 1D, WOODSIDE, NY 11377-4169
(646) 269-0001
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
512610
NY
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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