Brian A Christie, LPN

Individual provider Active NPI Licensed Practical Nurse · Baldwinsville, NY

NPI 1912239393 · NPPES record last updated Feb 9, 2010

Key facts

NPI
1912239393
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
300239 (NY)
Practice address
7490 River Rd
Baldwinsville, NY 13027-9450
Phone
(315) 409-5387
NPI assigned
Feb 9, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
300239NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 300239 NY Yes

Addresses

Primary practice location

7490 River Rd
Baldwinsville, NY 13027-9450

Mailing address

7490 River Rd
Baldwinsville, NY 13027-9450
Phone (315) 409-5387

Other providers in Baldwinsville, NY

All providers in Baldwinsville, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.