Provider Demographics
NPI:1174879050
Name:GIMELI-VONREKOWSKY, CHRISTINE JEAN (TEACHER)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JEAN
Last Name:GIMELI-VONREKOWSKY
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 INGLEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-5309
Mailing Address - Country:US
Mailing Address - Phone:516-369-0381
Mailing Address - Fax:516-369-0381
Practice Address - Street 1:2580 INGLEWOOD ST
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-5309
Practice Address - Country:US
Practice Address - Phone:516-369-0381
Practice Address - Fax:516-369-0381
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency