Provider Demographics
NPI:1043454333
Name:DOLENSEK, CHRISTIAN B (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:B
Last Name:DOLENSEK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2697 MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-2692
Mailing Address - Country:US
Mailing Address - Phone:716-831-2200
Mailing Address - Fax:716-831-8886
Practice Address - Street 1:219 BRYANT ST
Practice Address - Street 2:DEPT OF GYN/OB
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-2006
Practice Address - Country:US
Practice Address - Phone:716-878-7138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY260810207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology