CHRISTIAN THOMAS RACINE

SMITHTOWN, NY
NPI1619094430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: NY  017090)
Enumeration Date2007-03-25
Last Update Date2007-07-08
Business Address
DR. CHRISTIAN THOMAS RACINE PH.D.
11 ROUTE 111
SMITHTOWN, NY 11787-3712
Phone number: 631-920-8300
Mailing Address
DR. CHRISTIAN THOMAS RACINE PH.D.
85 FULTON ST
LAKE GROVE, NY 11755-3043
Phone number: 631-467-2496
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