Basic Information
| Provider Information | |||||||||
| NPI: | 1891748448 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KIVI | ||||||||
| FirstName: | CHRISTIAN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 457 3RD ST | ||||||||
| Address2: | |||||||||
| City: | NIAGARA FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 143011505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166891901 | ||||||||
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| Practice Location | |||||||||
| Address1: | 207 COMMERCE DR | ||||||||
| Address2: | |||||||||
| City: | AMHERST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142282302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166891901 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 122994 | NY | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.