Most Relevant Information
Provider Data
| NPI Number: | 1003422593 |
| Provider Name: | CHRISTINA ANN MACHOLL |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2020 |
| Last Updated: | 09/20/2020 |
Provider Practice Location
159 W 1ST ST
OSWEGO
NY
131262045
Practice Location Phone/Fax
| Phone: | 3153429575 |
| Fax: |
Provider Mailing Location
159 W 1ST ST
OSWEGO
NY
131262045
Provider Mailing Phone/Fax
| Phone: | 3153429575 |
| Fax: |