Most Relevant Information
Provider Data
| NPI Number: | 1003217225 |
| Provider Name: | CHRISTINA KING |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 509595111 |
Most Important Dates
| Enumeration Date: | 09/07/2014 |
| Last Updated: | 09/07/2014 |
Provider Practice Location
19 CLINTON AVE
LYNBROOK
NY
115634129
Practice Location Phone/Fax
| Phone: | 6318792707 |
| Fax: |
Provider Mailing Location
19 CLINTON AVE
LYNBROOK
NY
115634129
Provider Mailing Phone/Fax
| Phone: | 6318792707 |
| Fax: |