Healthcare Provider Details

I. General information

NPI: 1508124397
Provider Name (Legal Business Name): CHRISTOPHER CURRAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 02/17/2021
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 GENESEE ST
ONEIDA NY
13421-2716
US

IV. Provider business mailing address

104 GENESEE ST
ONEIDA NY
13421-2716
US

V. Phone/Fax

Practice location:
  • Phone: 315-363-3170
  • Fax: 315-366-9819
Mailing address:
  • Phone: 315-363-3170
  • Fax: 153-669-8193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number055731-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: