Healthcare Provider Details

I. General information

NPI: 1508796673
Provider Name (Legal Business Name): CHRISTINA MIHALIK-KONTOGIANNIS MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W WENDELL ST
ENDICOTT NY
13760-4062
US

IV. Provider business mailing address

420 W WENDELL ST
ENDICOTT NY
13760-4062
US

V. Phone/Fax

Practice location:
  • Phone: 607-321-3939
  • Fax:
Mailing address:
  • Phone: 607-321-3939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: