Provider Demographics
NPI:1518161983
Name:TREECE, CHRISTINA ANNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ANNETTE
Last Name:TREECE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1245 PARK AVE
Mailing Address - Street 2:APARTMENT 19A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1735
Mailing Address - Country:US
Mailing Address - Phone:646-942-7277
Mailing Address - Fax:212-746-7166
Practice Address - Street 1:119 W 24TH ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-1913
Practice Address - Country:US
Practice Address - Phone:212-746-7200
Practice Address - Fax:212-746-7166
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2294262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY997471Medicare PIN