Provider Demographics
NPI:1396718284
Name:CUNNIFF, CHRISTOPHER MCCORD (MD)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:MCCORD
Last Name:CUNNIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E 70TH ST
Mailing Address - Street 2:3RD FLOOR, BOX 128
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4872
Mailing Address - Country:US
Mailing Address - Phone:646-962-2205
Mailing Address - Fax:646-962-0273
Practice Address - Street 1:505 E 70TH ST
Practice Address - Street 2:3RD FLOOR, BOX 128
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4872
Practice Address - Country:US
Practice Address - Phone:646-962-2205
Practice Address - Fax:646-962-0273
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274026207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00079809OtherRR MEDICARE
AZD83390Medicare UPIN