Provider Demographics
NPI:1780270363
Name:WALKOWSKI, CHRISTINA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARIE
Last Name:WALKOWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:KIEFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4976 TRANSIT RD STE 2
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-4651
Mailing Address - Country:US
Mailing Address - Phone:716-586-4000
Mailing Address - Fax:
Practice Address - Street 1:4976 TRANSIT RD STE 2
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-4651
Practice Address - Country:US
Practice Address - Phone:716-586-4000
Practice Address - Fax:716-586-3999
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor