Provider Demographics
NPI:1679675995
Name:SMITH, CHRISTOPHER A (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:A
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:88 TIOGA AVE.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14845-2858
Mailing Address - Country:US
Mailing Address - Phone:607-684-6115
Mailing Address - Fax:607-684-6120
Practice Address - Street 1:2977 WESTINGHOUSE RD
Practice Address - Street 2:
Practice Address - City:HORSEHEADS
Practice Address - State:NY
Practice Address - Zip Code:14845-8120
Practice Address - Country:US
Practice Address - Phone:607-684-6115
Practice Address - Fax:607-662-4241
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY205695207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy