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Individual

CHRISTINE A. COURTNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-4363
(315) 464-8690
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-4363
(315) 464-8690

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200600299
NC
207P00000X
Emergency Medicine Physician
Primary
257046
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03226657
NY
01
142A8
BCBS
NC
05
5904051
NC
Enumeration date
07/17/2006
Last updated
10/21/2010
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