Individual
MRS. CHRISTINA MARIE PONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD STE 202, MELVILLE, NY 11747-3668
(631) 385-7780
(631) 385-7795
Mailing address
18 SHORT WAY, SHOREHAM, NY 11786-1444
(516) 445-9131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
724107628
NY
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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