Individual
CHRISTINE ELLEN HENDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 N COUNTRY RD, MOUNT SINAI, NY 11766-1525
(631) 870-2600
Mailing address
118 N COUNTRY RD, MOUNT SINAI, NY 11766-1525
(631) 870-2600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009327
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01379982
MEDICAID MANAGEMENT SYSTEM PROVIDER
NY
Enumeration date
09/24/2010
Last updated
09/24/2010
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