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Individual

CHRISTINA POWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
572 ROUTE 6 STE 102, MAHOPAC, NY 10541-4787
(917) 974-7139
Mailing address
11 SYCAMORE TER, MAHOPAC, NY 10541-3140
(917) 974-7139

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/02/2022
Last updated
05/02/2022
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