Provider Demographics
NPI:1528547775
Name:READER, CHRISTOPHER ADOLPHUS (RN)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ADOLPHUS
Last Name:READER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140L CLINTWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:NY
Mailing Address - Zip Code:14620-6512
Mailing Address - Country:US
Mailing Address - Phone:585-943-2773
Mailing Address - Fax:
Practice Address - Street 1:140L CLINTWOOD CT
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:NY
Practice Address - Zip Code:14620-6512
Practice Address - Country:US
Practice Address - Phone:585-943-2773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY536279-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse