Individual
DR. CHRISTIAN R DEFAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BUFFALO GENERAL MEDICAL CENTER, 100 HIGH STREET, EMERGENCY DEPARTMENT, BUFFALO, NY 14203
(716) 859-5600
(716) 645-9701
Mailing address
77 GOODELL ST, DEPT OF EMERGENCY MEDICINE, SUITE 340, BUFFALO, NY 14203-5906
(716) 645-9700
(716) 456-9701
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
210627
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
210627
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01881290
—
NY
Enumeration date
05/19/2006
Last updated
05/13/2025
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