Individual
CHRISTOPHER ZACHARY LAJUDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
325 ESSJAY RD, WILLIAMSVILLE, NY 14221-8243
(716) 630-2600
(716) 626-1858
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017403
NY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03809478
—
NY
01
—
P01620166
MEDICARE RR
NY
Enumeration date
02/21/2014
Last updated
11/26/2019
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