Provider Demographics
NPI:1407302672
Name:ANDRETTA, CHRISTINA (MA)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:ANDRETTA
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 1:1242 OAKFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2340
Mailing Address - Country:US
Mailing Address - Phone:516-557-9402
Mailing Address - Fax:
Practice Address - Street 1:1225 FRANKLIN AVE
Practice Address - Street 2:325
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1691
Practice Address - Country:US
Practice Address - Phone:516-512-8905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist