Provider Demographics
NPI:1134104854
Name:RESTA, CHRISTINE (MD,FACP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:RESTA
Suffix:
Gender:F
Credentials:MD,FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4802 10TH AVE
Mailing Address - Street 2:DIVISION OF ENDOCRINOLOGY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2916
Mailing Address - Country:US
Mailing Address - Phone:718-283-5923
Mailing Address - Fax:718-635-7640
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:DIVISION OF ENDOCRINOLOGY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2916
Practice Address - Country:US
Practice Address - Phone:718-283-5923
Practice Address - Fax:718-635-7640
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183147207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCR027J9110OtherEMPIRE B/C B/S
NYDS438OtherOXFORD
NY133442196OtherMAGNACARE
NY166147OtherELDERPLAN
NYOC3555OtherHEALTHNET
NY7078351013OtherCIGNA
NY133442196Other1199
NY133442196OtherUNITED HEALTHCARE
NYOC3555OtherHEALTHNET
NYF87605Medicare UPIN