Doctor Name: | CHRISTOPHER CHARLES CONNACHER |
NPI Number: | 1861644296 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 905 Greene County Office Building Greene County Mental Health Center Cairo, NY - 12413 |
Business Phone Number: | 5186229163 |
Business Fax Number: | 5186228592 |
Mailing Address: | 905 Greene County Office Building, Greene County Mental Health Center CAIRO |
State: | NY |
Postal Code: | 12413 |
Phone Number: | 5186229163 |
Fax Number: | 5186228592 |
NPI Enumeration Date: | 10/16/2008 |
NPI Last Update Date: | 10/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |