Individual
CHRISTOPHER BOTASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
719 HARRISON ST, SYRACUSE, NY 13210-2695
(315) 464-3145
Mailing address
719 HARRISON ST, SYRACUSE, NY 13210-2695
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
315775
NY
2084P0804X
Child & Adolescent Psychiatry Physician
MT219818
PA
Other
Enumeration date
04/24/2016
Last updated
07/06/2022
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