Individual
CARL L. CHRISTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1415 PORTLAND AVE STE 220, ROCHESTER, NY 14621
(585) 922-4496
(585) 922-4442
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4496
(585) 922-4442
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4267
IA
207V00000X
Obstetrics & Gynecology Physician
MB08459100
NJ
207VX0201X
Gynecologic Oncology Physician
Primary
309706
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010046653
AMERICHOICE
NJ
05
—
0175889
—
NJ
01
—
2141547
CIGNA
NJ
01
—
60043860
HORIZON NJ HEALTH
NJ
01
—
60043861
HORIZON NJ HEALTH
NJ
01
—
6642533/9141242
AETNA
NJ
01
—
P3944345
OXFORD HEALTH PLAN
NJ
Enumeration date
09/05/2007
Last updated
06/24/2021
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