Physician Compare National (NPI:1174615553)

HEALTHCARE PROVIDER: CHRISTINA BUKATY D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1174615553
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951578079
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120112000664
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BUKATY
	Individual professional last name
Provider First Name	CHRISTINA
	Individual professional first name
Provider Middle Name	PATRICE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOGAN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4269 SAINT FRANCIS DR
	Group Practice or individual's line 1 address
City	HAMBURG
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	140751724
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y