National Provider Identifier
Christopher Zachary Lajudice, PA-C
Christopher Zachary Lajudice, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 630-2600.
Profile Overview
- NPI
- 1568887933
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- February 21, 2014
- Last Updated
- November 26, 2019
Practice Location
- 325 Essjay RD
- Williamsville, NY 14221-8243
Phone: (716) 630-2600
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1568887933
- Entity Type
- Individual
- Last Name
- Lajudice
- First Name
- Christopher
- Middle Name
- Zachary
- Credential
- PA-C
- Provider Other Last Name
- Lickers
- Provider Other First Name
- Christopher
- Provider Other Middle Name
- Zachary
- Provider Other Credential Text
- PA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 325 Essjay RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8243
- Practice Country
- US
- Practice Phone
- (716) 630-2600
- Practice Fax
- (716) 626-1858
- Enumeration Date
- February 21, 2014
- Last Updated
- November 26, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
- Other Identifiers
- 03809478 (NY), P01620166 (NY, Medicare Rr)