National Provider Identifier
Christine Lynn Divita-McKenna, RPAC
Christine Lynn Divita-McKenna, RPAC is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 636-7979.
Profile Overview
- NPI
- 1407147838
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- April 19, 2011
- Last Updated
- October 25, 2016
Practice Location
- 1150 Youngs RD
- Suite 104
- Williamsville, NY 14221-8053
Phone: (716) 636-7979
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1407147838
- Entity Type
- Individual
- Last Name
- Divita-McKenna
- First Name
- Christine
- Middle Name
- Lynn
- Name Prefix
- Miss
- Credential
- RPAC
- Mailing Street Address
- 1150 Youngs RD
- Mailing Address Line 2
- Suite 104
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8053
- Mailing Country
- US
- Mailing Phone
- (716) 636-7979
- Mailing Fax
- (716) 636-7993
- Practice Street Address
- 1150 Youngs RD
- Practice Address Line 2
- Suite 104
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8053
- Practice Country
- US
- Practice Phone
- (716) 636-7979
- Practice Fax
- (716) 636-7993
- Enumeration Date
- April 19, 2011
- Last Updated
- October 25, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)