Individual
MRS. CHRISTINE ANN PONZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
507 EASTON ST, RONKONKOMA, NY 11779-6155
(631) 580-4004
(631) 205-1763
Mailing address
507 EASTON ST, RONKONKOMA, NY 11779-6155
(631) 580-4004
(631) 205-1763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1693406
NY
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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