Provider Demographics
NPI:1487202339
Name:BOOKER-SOMMER, CHRISTINE ANNA
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANNA
Last Name:BOOKER-SOMMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1064 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-1739
Mailing Address - Country:US
Mailing Address - Phone:716-827-1949
Mailing Address - Fax:
Practice Address - Street 1:1064 HARLEM RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-1739
Practice Address - Country:US
Practice Address - Phone:716-827-1949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist