National Provider Identifier

Christina Siau

Christina Siau is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-4011.

NPI 1245601574Ithaca, NYPhysician Assistant

Profile Overview

NPI
1245601574
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 13, 2015
Last Updated
September 24, 2022

Practice Location

  • 101 Dates Dr
  • Ithaca, NY 14850-1342

Phone: (607) 274-4011

Mailing Address

  • 101 Dates Dr
  • Ithaca, NY 14850-1383

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1245601574
Entity Type
Individual
Last Name
Siau
First Name
Christina
Mailing Street Address
101 Dates Dr
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1383
Mailing Country
US
Mailing Phone
(607) 274-4011
Practice Street Address
101 Dates Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1342
Practice Country
US
Practice Phone
(607) 274-4011
Enumeration Date
October 13, 2015
Last Updated
September 24, 2022
Sex
Female
Sole Proprietor
No
Certification Date
September 24, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)