Provider Demographics
NPI:1396164174
Name:BACH, CHRISTINA THANH (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:THANH
Last Name:BACH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:100 KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5504
Mailing Address - Country:US
Mailing Address - Phone:585-723-7575
Mailing Address - Fax:585-368-4890
Practice Address - Street 1:1561 LONG POND RD STE 408
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4135
Practice Address - Country:US
Practice Address - Phone:585-723-7575
Practice Address - Fax:585-368-4890
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2021-04-23
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Provider Licenses
StateLicense IDTaxonomies
NY308107207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine