National Provider Identifier
Christopher Michael Henderson, MD
Christopher Michael Henderson, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 922-4882.
Profile Overview
- NPI
- 1396764338
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 19, 2006
- Last Updated
- January 03, 2019
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4882
Specialties
- Internal Medicine Physician (207R00000X)
- Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
Full Record
- NPI
- 1396764338
- Entity Type
- Individual
- Last Name
- Henderson
- First Name
- Christopher
- Middle Name
- Michael
- Credential
- MD
- Provider Other Last Name
- Henderson
- Provider Other First Name
- C. Michael
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4882
- Mailing Fax
- (585) 922-3894
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4882
- Practice Fax
- (585) 922-3894
- Enumeration Date
- July 19, 2006
- Last Updated
- January 03, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Geriatric Medicine (Internal Medicine) Physician (207RG0300X)
- Other Identifiers
- 00355344 (NY), 01388389 (NY)