Individual
CHRISTINE MARY SILVESTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 OAKWOOD DR, SOUTHOLD, NY 11971-3211
(631) 765-6709
Mailing address
480 OAKWOOD DR, SOUTHOLD, NY 11971-3211
(631) 765-6709
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
03/27/2018
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