Individual
MS. CHRISTINA R GRISWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-8352
Mailing address
1769 FREDERICK AVE, MERRICK, NY 11566-2911
(516) 546-0064
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015828
NY
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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