Individual
CHRISTINA ELIZABETH CIVITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14379 ROUTE 9W, RAVENA, NY 12143
(518) 756-3124
Mailing address
498 GREEN LAKE RD, CATSKILL, NY 12414-6213
(518) 943-9697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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