Individual provider · Type 1 NPI

Christine Backus, TOD

Specialist · Waddington, NY

NPI number 1033474796 Active

Practice location

10 Main Street
Waddington, NY 13694-0249

Fax (315) 388-4707

Mailing address

PO Box 249
Waddington, NY 13694-0249

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X523830111 (NY)
Specialist 174400000X263303081 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1033474796

Christine Backus, TOD's National Provider Identifier is 1033474796, issued on Jul 9, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Waddington, NY. The record was last updated on Jul 9, 2012.