Provider Demographics
NPI:1235190521
Name:GALBREATH, CHRISTOPHER R (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:R
Last Name:GALBREATH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1387 FAIRPORT RD
Mailing Address - Street 2:SUITE 580
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-2003
Mailing Address - Country:US
Mailing Address - Phone:585-377-0560
Mailing Address - Fax:585-377-0577
Practice Address - Street 1:1387 FAIRPORT RD
Practice Address - Street 2:SUITE 580
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-2003
Practice Address - Country:US
Practice Address - Phone:585-377-0560
Practice Address - Fax:585-377-0577
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1723902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP010172390OtherEXCELLUS BLUE CHOICE
NY101214EUOtherPREFERRED CARE PROVIDER #
NY1777OtherEXCELLUS BLUE CROSS
NY1777OtherEXCELLUS BLUE CROSS
NYF18325Medicare UPIN