Individual
CHRISTOPHER MICHAEL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4882
(585) 922-3894
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4882
(585) 922-3894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
189805-1
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
189805
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355344
—
NY
05
—
01388389
—
NY
Enumeration date
07/19/2006
Last updated
01/03/2019
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