Individual
MARINA XINOGALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15022 21ST AVE, WHITESTONE, NY 11357-3608
(718) 704-9787
Mailing address
15022 21ST AVE, WHITESTONE, NY 11357-3608
(347) 494-1643
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
939013151
NY
222Q00000X
Developmental Therapist
939075151
NY
222Q00000X
Developmental Therapist
PGP-0654684
VA
Other
Enumeration date
10/08/2014
Last updated
04/30/2019
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