Provider Demographics
NPI:1730145723
Name:BUHLINGER, CHRISTINE (DO)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:BUHLINGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MALTA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-5051
Mailing Address - Country:US
Mailing Address - Phone:518-289-2718
Mailing Address - Fax:518-583-8796
Practice Address - Street 1:6 MEDICAL PARK DR
Practice Address - Street 2:SUITE 206
Practice Address - City:MALTA
Practice Address - State:NY
Practice Address - Zip Code:12020-5051
Practice Address - Country:US
Practice Address - Phone:518-289-2718
Practice Address - Fax:518-583-8796
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179648207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01808979Medicaid
NYBB0030Medicare PIN
NY01808979Medicaid
NYC53703Medicare UPIN