Provider Demographics
NPI:1073917456
Name:GALVIN, CHRISTINA (MSE)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:GALVIN
Suffix:
Gender:F
Credentials:MSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-2807
Mailing Address - Country:US
Mailing Address - Phone:914-698-7829
Mailing Address - Fax:
Practice Address - Street 1:427 CARROLL AVE
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-2807
Practice Address - Country:US
Practice Address - Phone:914-698-7829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2585582252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency