Provider Demographics
NPI:1568858173
Name:SOLLECITO, CHRISTINA (MS)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:SOLLECITO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 JESSAMINE AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5620
Mailing Address - Country:US
Mailing Address - Phone:646-522-3625
Mailing Address - Fax:
Practice Address - Street 1:292 JESSAMINE AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5620
Practice Address - Country:US
Practice Address - Phone:646-522-3625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool