Individual
CHRISTINA INTRAVAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
320 SMITH ST, BROOKLYN, NY 11231-4608
(718) 403-9371
Mailing address
618 W FINGERBOARD RD, STATEN ISLAND, NY 10305-2632
(718) 501-1455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064699
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064699
REGISTERED PHARMACIST
NY
Enumeration date
09/24/2018
Last updated
09/24/2018
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