MEDICARE: CHRISTINE C PLATT M.D., P.H.D

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	174400000X	Specialist	160134	NY
2	332H00000X	Eyewear Supplier	160134	NY
3	207W00000X	Ophthalmology Physician	160134	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5930359	OTHER	NY	AETNA
2	8897	OTHER	NY	BLUE SHIELD
3	300238	OTHER	NY	WELLCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	161305396	OTHER	NY	PRINCIPAL
6	P010160134	OTHER	NY	BLUE CHOICE
7	102473CR	OTHER	NY	PREFERRED CARE
8	161305396	OTHER	NY	PHCS
9	161305396	OTHER	NY	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1669447546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE C PLATT M.D., P.H.D

Provider Business Mailing Address
First Line	:	58 SUMMIT DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-3130
Country	:	US
Telephone Number	:	585-461-2017
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 LAKEVIEW PARK
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14613-1708
Country	:	US
Telephone Number	:	585-458-2020
Fax Number	:	585-458-3477

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	07/05/2023

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