Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4267 | IA |
N | 207V00000X | Obstetrician & Gynecologist | MB08459100 | NJ |
Y | 207VX0201X | Gynecologic Oncologist | 309706 | NY |
NPI | 1023202769 |
---|---|
Provider Name | Carl L. Christie |
First Address | Rochester, NY 14617-5504 |
Second Address | Rochester, NY 14621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2007 |
Last Update Date | 24/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010046653 | AMERICHOICE (01) | NJ |
0175889 | (05) | NJ |
2141547 | CIGNA (01) | NJ |
60043860 | HORIZON NJ HEALTH (01) | NJ |
60043861 | HORIZON NJ HEALTH (01) | NJ |
6642533/9141242 | AETNA (01) | NJ |
P3944345 | OXFORD HEALTH PLAN (01) | NJ |