Healthcare Provider Details

I. General information

NPI: 1518092923
Provider Name (Legal Business Name): CHRISTINE Z MOLEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 02/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COLLEGE PKWY STE 220
WILLIAMSVILLE NY
14221-6800
US

IV. Provider business mailing address

100 COLLEGE PKWY STE 220
WILLIAMSVILLE NY
14221-6800
US

V. Phone/Fax

Practice location:
  • Phone: 716-626-9019
  • Fax: 716-626-9100
Mailing address:
  • Phone: 716-626-9019
  • Fax: 716-626-9100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number334733
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: