Provider Demographics
NPI:1093730194
Name:FERGUSON, CHRISTOPHER J (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:FERGUSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 HEMPSTEAD TPKE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1404
Mailing Address - Country:US
Mailing Address - Phone:516-579-2800
Mailing Address - Fax:516-520-9037
Practice Address - Street 1:2900 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE 103
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1404
Practice Address - Country:US
Practice Address - Phone:516-579-2800
Practice Address - Fax:516-520-9037
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005810213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7769451OtherAETNA
NYMAGNACAREOther030474207
NY02413629Medicaid
NY030474207OtherHORIZON HEALTHCARE
NY3C5966OtherHEALTHNET
NYP2724913OtherOXFORD
NY1400232OtherGHI
NY2853553-003OtherCIGNA
NY2325593OtherUNITED HEALTHCARE
NYPG8302Medicare PIN
NYP2724913OtherOXFORD
NY02413629Medicaid