Individual
CHRISTOPHER GRAHAM TEGTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 10TH AVE, 10TH FLR (INN) 10G-64, NEW YORK, NY 10019-1147
(212) 636-3236
Mailing address
1000 10TH AVE, (INN) 10G-64, NEW YORK, NY 10019-1147
(212) 636-3236
(212) 636-3177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2010011928
MO
363AM0700X
Medical Physician Assistant
Primary
013931
NY
363AM0700X
Medical Physician Assistant
25MP00336100
NJ
Other
Enumeration date
07/12/2010
Last updated
01/19/2015
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