Provider Demographics
NPI:1265970800
Name:CONTE, CHRISTINE (OT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:CONTE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 LEE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST WILLISTON
Mailing Address - State:NY
Mailing Address - Zip Code:11596-2424
Mailing Address - Country:US
Mailing Address - Phone:516-902-4225
Mailing Address - Fax:516-248-9174
Practice Address - Street 1:39 LEE AVE
Practice Address - Street 2:
Practice Address - City:EAST WILLISTON
Practice Address - State:NY
Practice Address - Zip Code:11596-2424
Practice Address - Country:US
Practice Address - Phone:516-902-4225
Practice Address - Fax:516-248-9174
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007673-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist