Individual
ELIAS CHRISTIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2655 RIDGEWAY AVE, SUITE 480, ROCHESTER, NY 14626-4296
(585) 865-8210
(585) 865-7597
Mailing address
2655 RIDGEWAY AVE, SUITE 480, ROCHESTER, NY 14626-4296
(585) 865-8210
(585) 865-7597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
211103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872260
—
NY
01
—
2111037WIM
WORKERS COMP
—
Enumeration date
07/03/2006
Last updated
09/02/2021
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