Individual
MRS. CHRISTINE VINCEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
12 BRIGHAM RD, FREDONIA, NY 14063-1000
(716) 679-7447
(716) 679-7446
Mailing address
12 BRIGHAM RD, FREDONIA, NY 14063-1000
(716) 679-7447
(716) 679-7446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013494
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000087187
GHI
NY
01
—
000628261001
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
05/10/2006
Last updated
07/08/2007
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