Provider Demographics
NPI:1790860914
Name:KOLBAY, CHRISTOPHER L (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:L
Last Name:KOLBAY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:113 HOLLAND AVE
Mailing Address - Street 2:STRATTON VA MEDICAL CENTER, PRIMARY CARE
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3410
Mailing Address - Country:US
Mailing Address - Phone:518-853-1247
Mailing Address - Fax:518-853-1250
Practice Address - Street 1:2623 STATE HIGHWAY 30A
Practice Address - Street 2:VA PRIMARY CARE PRACTICE, FONDA
Practice Address - City:FONDA
Practice Address - State:NY
Practice Address - Zip Code:12068-5961
Practice Address - Country:US
Practice Address - Phone:518-853-1247
Practice Address - Fax:518-853-1250
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY146963-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine