1609851666 NPI number — DR. CHRISTINE HELEN ALBINI MD, PH

Table of content: JOSLYN CARRELL RBT (NPI 1386130367)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609851666 NPI number — DR. CHRISTINE HELEN ALBINI MD, PH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALBINI
Provider First Name:
CHRISTINE
Provider Middle Name:
HELEN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, PH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609851666
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4511 HARLEM ROAD
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
AMHERST
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14226-3822
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-839-6720
Provider Business Mailing Address Fax Number:
716-839-6740

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
219 BRYANT STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14222-2006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-878-7588
Provider Business Practice Location Address Fax Number:
716-888-3827
Provider Enumeration Date:
12/13/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0205X , with the licence number:  155540 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00010002101 . This is a "UNIVERA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 040426000940 . This is a "FIDELIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0011150300001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1207037 . This is a "IHA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000500164003 . This is a "BC/BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01058277 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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