Provider Demographics
NPI:1255488342
Name:PAWLINGA, CHRISTOPHER M (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:M
Last Name:PAWLINGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1667 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-3805
Mailing Address - Country:US
Mailing Address - Phone:518-356-5377
Mailing Address - Fax:518-881-1489
Practice Address - Street 1:1667 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-3805
Practice Address - Country:US
Practice Address - Phone:518-356-5377
Practice Address - Fax:518-881-1489
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY236500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02685990Medicaid
NY131001000109OtherFIDELIS
NY7372689OtherAETNA
NY702232OtherGHI/HMO
NY7348A1OtherEMPIRE BLUECROSS BLUESHIELD
NY7372689OtherAETNA
NYJ400091397Medicare PIN