Individual
CHRISTOPHER GISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
(585) 697-6000
Mailing address
1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
(585) 697-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017144
NY
363A00000X
Physician Assistant
MA056609
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01682954
RAILROAD MEDICARE
NY
Enumeration date
11/20/2013
Last updated
09/19/2016
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