Custodio, Christian M

Custodio, Christian M is an individual health care provider with primary practice located at 1275 York Ave , New York NY 10021-6007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Custodio, Christian M can be contacted via phone (646) 227-3813.

Contact Information

Primary practice address
1275 York Ave New York NY 10021-6007
Phone: (646) 227-3813
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 228649 New York

Profile Details

NPI number 1679544613
LBN Legal business name Custodio, Christian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers