Provider Demographics
NPI:1679837371
Name:LAURATO, CHRISTINA MARIE
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:LAURATO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PARKWAY N APT 3C
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3958
Mailing Address - Country:US
Mailing Address - Phone:914-450-3159
Mailing Address - Fax:914-457-0187
Practice Address - Street 1:44 PARKWAY N APT 3C
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3958
Practice Address - Country:US
Practice Address - Phone:914-450-3159
Practice Address - Fax:914-457-0187
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist