MEDICARE: CHRISTOPHER DABSKI MD

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	207N00000X	Dermatology Physician	172021-1	NY
2	207ND0900X	Dermatopathology Physician	172021-1	NY
3	207NI0002X	Clinical & Laboratory Dermatological Immunology Physician	172021-1	NY

General Provider Information

NPI Number	:	1992790026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER DABSKI MD

Provider Business Mailing Address
First Line	:	9210 BEECH MEADOW CT
Second Line	:
City	:	CLARENCE CENTER
State	:	NY
Zip	:	14032-9332
Country	:	US
Telephone Number	:	716-681-4800
Fax Number	:	716-681-3713

Provider Business Practice Location Address
First Line	:	1821 COMO PARK BLVD
Second Line	:
City	:	LANCASTER
State	:	NY
Zip	:	14086-2823
Country	:	US
Telephone Number	:	716-681-4800
Fax Number	:	716-681-3713

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	03/22/2017

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