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CHRISTOPHER ADUBOR PHYSICIAN PC NPI 1043447808


NPI Information

NPI: 1043447808
Provider Name: CHRISTOPHER ADUBOR PHYSICIAN PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 33D0996087

Address:
153 STEVENS AVE
SUITE 4
MOUNT VERNON, NY
ZIP 10550
Phone: (914) 668-8080
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CHRISTOPHER ADUBOR PHYSICIAN PC is a nephrology internal medicine in Mount Vernon, NY. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. CHRISTOPHER ADUBOR PHYSICIAN PC NPI is 1043447808. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

153 STEVENS AVE
SUITE 4
MOUNT VERNON, NY
ZIP 10550-543
Phone: (914) 668-8080
Fax: (914) 668-0629

The provider's authorized official is Christopher Adubor .
The authorized official title is Medical Director and has the following contact phone number (914) 668-8080.

The CLIA number assigned to this NPI record is 33D0996087 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2009 and was last updated on 6/18/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine192587NEW YORKNo
2207RN0300XInternal MedicineNephrology192587NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101605527MEDICAIDNEW YORK
2F91576MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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