Provider Demographics
NPI:1447471156
Name:FRANTZESKOS, CHRISTINA M (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:M
Last Name:FRANTZESKOS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 WOODED HILL CT
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1132
Mailing Address - Country:US
Mailing Address - Phone:914-242-2010
Mailing Address - Fax:914-242-0066
Practice Address - Street 1:359 WOODED HILL CT
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-1132
Practice Address - Country:US
Practice Address - Phone:914-242-2010
Practice Address - Fax:914-242-0066
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0015658002OtherCIGNA
NY4472369OtherAETNA
NYCF0X493310Medicare ID - Type UnspecifiedMEDICARE AND BLUE CROSS