MEDICARE: DR. WINIFRED R CHRIST D.S.W.

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	1041C0700X	Clinical Social Worker	PR003040-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	137890	OTHER	NY	VALUE OPTIONS
2	P724762	OTHER	NY	OXFORD
3	5862332	OTHER	NY	AETNA
4	1023014388	OTHER	NY	EMPIRE BC/BS
5	209673352	OTHER	NY	UNITED BEHAVIORAL HEALTH
6	210306	OTHER	NY	MHN

General Provider Information

NPI Number	:	1023014388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WINIFRED R CHRIST D.S.W.

Provider Business Mailing Address
First Line	:	150 WHITE PLAINS RD
Second Line	:
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-5535
Country	:	US
Telephone Number	:	914-295-2660
Fax Number	:	914-909-5840

Provider Business Practice Location Address
First Line	:	150 WHITE PLAINS RD
Second Line	:
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-5535
Country	:	US
Telephone Number	:	914-295-2660
Fax Number	:	914-909-5890

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/20/2013

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