Individual
MRS. CHRISTINE M GISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ED., BCBA
Contact information
Practice address
357 MELBA ST, STATEN ISLAND, NY 10314-5338
(718) 494-1961
Mailing address
357 MELBA ST, STATEN ISLAND, NY 10314-5338
(718) 494-1961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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