Most Relevant Information
Provider Data
| NPI Number: | 1003196007 |
| Provider Name: | KRISTINA SANSONE MA |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2011 |
| Last Updated: | 12/22/2016 |
Provider Practice Location
1060 WILLOWBROOK ROAD
PS 54 CHARLES W. LENG
STATEN ISLAND
NY
10314
Practice Location Phone/Fax
| Phone: | 7186980600 |
| Fax: | 7186981736 |
Provider Mailing Location
1060 WILLOWBROOK ROAD
PS 54 CHARLES W. LENG
STATEN ISLAND
NY
10314
Provider Mailing Phone/Fax
| Phone: | 7186980600 |
| Fax: | 7186981736 |