Individual
CHRISTINA VICIDOMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1584
Mailing address
2407 DITMARS BLVD APT 2, ASTORIA, NY 11105-3337
(347) 236-5704
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
301808
NY
Other
Enumeration date
02/12/2018
Last updated
08/30/2022
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