Provider Demographics
NPI:1710382429
Name:ASZTALOS, CHRISTINA IREN (MSED)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:IREN
Last Name:ASZTALOS
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:IREN
Other - Last Name:ASZTALOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED
Mailing Address - Street 1:2554 W 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6906
Mailing Address - Country:US
Mailing Address - Phone:347-631-4139
Mailing Address - Fax:
Practice Address - Street 1:7000 AUSTIN ST
Practice Address - Street 2:FORST HILLS SUITE 200
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1022
Practice Address - Country:US
Practice Address - Phone:718-762-7633
Practice Address - Fax:718-886-8694
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist