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NPI Code Detail

MEDICARE: CHRISTOPHER R. HAYDANEK DO

MEDICARE: CHRISTOPHER R. HAYDANEK DO
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
1208M00000XHospitalist Physician308841NY
2207Q00000XFamily Medicine Physician308841NY

General Provider Information

NPI Number : 1417489121
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER R. HAYDANEK DO
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number : 585-321-4350
Fax Number : 585-321-4389
Provider Business Practice Location Address
First Line : 50 MIDDLE RD
Second Line :
City : HENRIETTA
State : NY
Zip : 14467-9312
Country : US
Telephone Number : 585-321-5350
Fax Number : 585-321-4389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2017
Last Update Date : 01/06/2022

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