Individual
CHRISTINE D. HATEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
397 LOUISIANA ST, BUFFALO, NY 14204-2275
(716) 847-6610
(716) 854-3052
Mailing address
2875 UNION RD, SUITE 21, CHEEKTOWAGA, NY 14227-1470
(716) 706-2034
(716) 706-2035
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380147
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026552801
UNIVERA
NY
01
—
000560105001
BLUE CROSS OF WNY
NY
01
—
040426001229
FIDELIS
NY
01
—
9512303
INDEPENDENT HEALTH
NY
Enumeration date
07/05/2006
Last updated
01/04/2012
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