Healthcare Provider Details

I. General information

NPI: 1972041853
Provider Name (Legal Business Name): CHRISTINE FAUST MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE BARROW

II. Dates (important events)

Enumeration Date: 02/10/2017
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5120 EAST MAIN ST. RD. SUITE 2
BATAVIA NY
14020
US

IV. Provider business mailing address

5130 E MAIN STREET RD STE 2
BATAVIA NY
14020-3444
US

V. Phone/Fax

Practice location:
  • Phone: 585-344-1421
  • Fax:
Mailing address:
  • Phone: 585-344-1421
  • Fax: 585-344-3047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number009885
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: