MEDICARE: MR. CHRISTOPHER MCCORD CUNNIFF M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207SG0201X	Clinical Genetics (M.D.) Physician	274026	NY

General Provider Information

NPI Number	:	1396718284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER MCCORD CUNNIFF M.D.

Provider Business Mailing Address
First Line	:	505 E 70TH ST
Second Line	:	3RD FLOOR, BOX 128
City	:	NEW YORK
State	:	NY
Zip	:	10021-4872
Country	:	US
Telephone Number	:	646-962-2205
Fax Number	:	646-962-0273

Provider Business Practice Location Address
First Line	:	505 E 70TH ST
Second Line	:	3RD FLOOR, BOX 128
City	:	NEW YORK
State	:	NY
Zip	:	10021-4872
Country	:	US
Telephone Number	:	646-962-2205
Fax Number	:	646-962-0273

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	05/11/2015

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Directions to “ MR. CHRISTOPHER MCCORD CUNNIFF M.D.” Practice Location

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