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General NPI Number Information
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NPI Number | 1811074636
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Entity Type | Individual
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Provider Name | CHARLES CASALE MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 1 ATWELL RD
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City | COOPERSTOWN
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State | NY
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Zip | 13326-1301
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Country | US
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Telephone | 607-547-3760
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Fax | 607-547-6995
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Provider Business Mailing Address
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Address Line | 809 VINEYARD ST
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City | COHOES
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State | NY
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Zip | 12047-4848
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Country | US
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Telephone | 516-446-4858
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 185252
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 185252
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License Number State | NY
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