Provider Demographics
NPI:1013391812
Name:IOVINO, CHRISTINE R
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:R
Last Name:IOVINO
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 1:49 CAMPWOODS RD
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3731
Mailing Address - Country:US
Mailing Address - Phone:914-762-1851
Mailing Address - Fax:
Practice Address - Street 1:49 CAMPWOODS RD
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-3731
Practice Address - Country:US
Practice Address - Phone:914-762-1851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2017-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1013391812174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist