Provider Demographics
NPI:1346558889
Name:MARSIELLO, CHRISTINA (MA)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:
Last Name:MARSIELLO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 7TH AVE
Mailing Address - Street 2:APT. 4L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4378
Mailing Address - Country:US
Mailing Address - Phone:718-832-2940
Mailing Address - Fax:
Practice Address - Street 1:383 7TH AVE
Practice Address - Street 2:APT. 4L
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4378
Practice Address - Country:US
Practice Address - Phone:718-832-2940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008820235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist