Provider Demographics
NPI:1427335926
Name:LOMANGINO, CHRISTINE M (MT-BC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:LOMANGINO
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 W 4TH ST APT 138
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-2172
Mailing Address - Country:US
Mailing Address - Phone:631-834-0660
Mailing Address - Fax:
Practice Address - Street 1:40 W 4TH ST APT 138
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-2172
Practice Address - Country:US
Practice Address - Phone:631-834-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist