Organization
CHRISTIAN A BOTTISTI
Active
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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