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NPI Code Detail

MEDICARE: CHRISTINE D. HATEM N.P.

MEDICARE: CHRISTINE D. HATEM N.P.
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
1363LP0200XPediatric Nurse Practitioner380147NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000560105001OTHERNYBLUE CROSS OF WNY
200026552801OTHERNYUNIVERA
3040426001229OTHERNYFIDELIS
49512303OTHERNYINDEPENDENT HEALTH

General Provider Information

NPI Number : 1861423584
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE D. HATEM N.P.
Provider Business Mailing Address
First Line : 2875 UNION RD
Second Line : SUITE 21
City : CHEEKTOWAGA
State : NY
Zip : 14227-1470
Country : US
Telephone Number : 716-706-2034
Fax Number : 716-706-2035
Provider Business Practice Location Address
First Line : 397 LOUISIANA ST
Second Line :
City : BUFFALO
State : NY
Zip : 14204-2275
Country : US
Telephone Number : 716-847-6610
Fax Number : 716-854-3052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 01/04/2012

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