National Provider Identifier

Christina Lynn Sobczak, PNP

Christina Lynn Sobczak, PNP is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Corfu, NY and a listed phone number of (585) 599-6446.

NPI 1164736526Corfu, NYPediatric Nurse Practitioner

Profile Overview

NPI
1164736526
Provider Type
Individual
Primary Specialty
Pediatric Nurse Practitioner
Enumeration Date
July 28, 2010
Last Updated
August 12, 2024

Practice Location

  • 860 Main Road
  • Corfu, NY 14036-9753

Phone: (585) 599-6446

Mailing Address

  • 860 Main RD
  • Corfu, NY 14036-9753

Specialties

  • Pediatric Nurse Practitioner (363LP0200X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1164736526
Entity Type
Individual
Last Name
Sobczak
First Name
Christina
Middle Name
Lynn
Name Prefix
Mrs.
Credential
PNP
Provider Other Last Name
Lackemeyer
Provider Other First Name
Christina
Provider Other Middle Name
Lynn
Provider Other Last Name Type Code
1
Mailing Street Address
860 Main RD
Mailing City
Corfu
Mailing State
NY
Mailing ZIP Code
14036-9753
Mailing Country
US
Mailing Phone
(585) 599-6446
Mailing Fax
(585) 599-3166
Practice Street Address
860 Main Road
Practice City
Corfu
Practice State
NY
Practice ZIP Code
14036-9753
Practice Country
US
Practice Phone
(585) 599-6446
Practice Fax
(585) 599-6446
Enumeration Date
July 28, 2010
Last Updated
August 12, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 12, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Nurse Practitioner (363LP0200X), Registered Nurse (163W00000X)
Other Identifiers
03254235 (NY)