Healthcare Provider Details

I. General information

NPI: 1346348117
Provider Name (Legal Business Name): CHARLES SALIM HAWARD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 ROUTE 59
SUFFERN NY
10901
US

IV. Provider business mailing address

79 ROUTE 59
SUFFERN NY
10901
US

V. Phone/Fax

Practice location:
  • Phone: 845-357-8010
  • Fax: 845-357-8036
Mailing address:
  • Phone: 845-357-8010
  • Fax: 845-357-8036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number107280
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: