Provider Demographics
NPI:1144690041
Name:BELL, CHRISTIN (RPA-C)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3372 STATE ROUTE 11
Mailing Address - Street 2:SUITE H- CEDAR COMMONS
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-4735
Mailing Address - Country:US
Mailing Address - Phone:518-521-3322
Mailing Address - Fax:
Practice Address - Street 1:3372 STATE ROUTE 11
Practice Address - Street 2:SUITE H- CEDAR COMMONS
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-4735
Practice Address - Country:US
Practice Address - Phone:518-521-3322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23 019217363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY23 019217OtherNYS MEDICAL LICENSE