Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X0005411 | NY |
NPI | 1003994435 |
---|---|
Provider Name | Dr. Gerard Carl Christiana |
First Address | Bronxville, NY 10708 |
Second Address | Bronxville, NY 10708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U83408 | (02) |