Individual
CHRISTINE M CHRUSCICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 PINEWILD DR, SUITE 2A, ROCHESTER, NY 14606-4200
(585) 368-6700
(585) 368-6767
Mailing address
100 PINEWILD DR, SUITE 2A, ROCHESTER, NY 14606-4200
(585) 368-6700
(585) 368-6767
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
223997
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027081901
UNIVERA
NY
01
—
000528078001
HEALTH INTEGRATED
NY
01
—
10696776
CAQH
NY
01
—
1590756
INDEPENDENT HEALTH
NY
Enumeration date
05/24/2005
Last updated
10/10/2007
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