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Organization

CHRISTIAN A BOTTISTI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTIAN ANTHONY BOTTISTI SR. (CEO)
(518) 842-1852
Entity
Organization

Contact information

Practice address
266 STATE HIGHWAY 67, AMSTERDAM, NY 12010-7311
(518) 842-1852
(518) 615-1900
Mailing address
5044 STATE HIGHWAY 30, AMSTERDAM, NY 12010-7534
(518) 842-1852
(518) 615-1900

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BN1400X
Nursing Facility Supplies (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02290320
NY
01
10066623
CDPHP
NY
01
369564
MVP HEALTHCARE
NY
Enumeration date
07/09/2006
Last updated
08/30/2011
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