Basic Information
| Provider Information | |||||||||
| NPI: | 1609851666 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALBINI | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | HELEN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD, PH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4511 HARLEM ROAD | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | AMHERST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142263822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168396720 | ||||||||
| FaxNumber: | 7168396740 | ||||||||
| Practice Location | |||||||||
| Address1: | 219 BRYANT STREET | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142222006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168787588 | ||||||||
| FaxNumber: | 7168883827 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2005 | ||||||||
| LastUpdateDate: | 12/02/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0205X | 155540 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology |
ID Information
| ID | Type | State | Issuer | Description | 00010002101 | 01 | UNIVERA | OTHER | 040426000940 | 01 | FIDELIS | OTHER | 0011150300001 | 05 | PA | MEDICAID | 1207037 | 01 | IHA | OTHER | 000500164003 | 01 | BC/BS | OTHER | 01058277 | 05 | NY | MEDICAID |