Provider Demographics
NPI:1174798102
Name:RAGER, CHRISTINA ANN (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ANN
Last Name:RAGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1561 LONG POND RD STE 408
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4135
Mailing Address - Country:US
Mailing Address - Phone:585-723-7575
Mailing Address - Fax:585-368-4890
Practice Address - Street 1:1561 LONG POND RD STE 408
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4135
Practice Address - Country:US
Practice Address - Phone:585-723-7575
Practice Address - Fax:585-368-4890
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY272399207RC0200X, 207RP1001X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04377244Medicaid