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Individual

CHRISTINE C PLATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., P.H.D

Contact information

Practice address
1 LAKEVIEW PARK, ROCHESTER, NY 14613-1708
(585) 458-2020
(585) 458-3477
Mailing address
58 SUMMIT DR, ROCHESTER, NY 14620-3130
(585) 461-2017

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
160134
NY
207W00000X
Ophthalmology Physician
Primary
160134
NY
332H00000X
Eyewear Supplier
160134
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01038619
NY
01
102473CR
PREFERRED CARE
NY
01
161305396
PRINCIPAL
NY
01
300238
WELLCARE
NY
01
5930359
AETNA
NY
01
8897
BLUE SHIELD
NY
01
P010160134
BLUE CHOICE
NY
Enumeration date
02/22/2006
Last updated
07/05/2023
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