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Individual

CHRISTINA DISANTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
503 GRASSLANDS RD, VALHALLA, NY 10595-1503
(914) 593-0593
Mailing address
1 ELIDE RD, KATONAH, NY 10536-3101

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
018548-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1982027660
OT
NY
Enumeration date
01/30/2014
Last updated
12/21/2017
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