Provider Demographics
NPI:1154488161
Name:TADDEO, CHRISTINA EADIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:EADIE
Last Name:TADDEO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:360 LINDEN OAKS
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2814
Mailing Address - Country:US
Mailing Address - Phone:585-922-8315
Mailing Address - Fax:
Practice Address - Street 1:360 LINDEN OAKS
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2814
Practice Address - Country:US
Practice Address - Phone:585-922-8315
Practice Address - Fax:585-922-6290
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2471222084P0804X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry