Individual
CHRISTOPHER BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24917 148TH RD, ROSEDALE, NY 11422-2711
(718) 413-9784
Mailing address
PO BOX 282, ROOSEVELT, NY 11575-0282
(718) 216-8924
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/03/2020
Last updated
05/03/2020
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