Individual
CHRISTINE JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CUMBERLAND CT, PEEKSKILL, NY 10566-2563
(646) 404-2115
Mailing address
2 CUMBERLAND CT, PEEKSKILL, NY 10566-2563
(646) 404-2115
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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