Doctor Name: | CHRISTINE A EHRENSBERGER |
NPI Number: | 1023072162 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA-C |
License Number: | 009242 |
Business Practice Address: | 4949 Harlem Rd Amherst, NY - 142262500 |
Business Phone Number: | 7162043201 |
Business Fax Number: | 7162043272 |
Mailing Address: | 4949 Harlem Rd, AMHERST |
State: | NY |
Postal Code: | 142262500 |
Phone Number: | 7162043201 |
Fax Number: | 7162043272 |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 02/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 009242 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |