Provider Demographics
NPI:1093733750
Name:ROHDE, CHRISTINE HSU (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:HSU
Last Name:ROHDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27036
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-7036
Mailing Address - Country:US
Mailing Address - Phone:212-342-3707
Mailing Address - Fax:212-305-9626
Practice Address - Street 1:161 FORT WASHINGTON AVE
Practice Address - Street 2:SUITE 511A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3729
Practice Address - Country:US
Practice Address - Phone:212-342-3707
Practice Address - Fax:212-305-9626
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2342922086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02801283Medicaid
NY234292OtherLICENSE
NY234292OtherLICENSE
NYA400087767Medicare PIN