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NPI Code Detail

MEDICARE: DOUGLAS CHARNEY MD

MEDICARE:   DOUGLAS  CHARNEY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician198798NY

General Provider Information

NPI Number : 1639178742
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS CHARNEY MD
Provider Business Mailing Address
First Line : PO BOX 20452
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-0452
Country : US
Telephone Number : 614-442-2406
Fax Number : 614-442-2410
Provider Business Practice Location Address
First Line : 160 N MIDLAND AVE FL 1
Second Line : NYACK HOSPITAL PATHOLOGY DEPT
City : NYACK
State : NY
Zip : 10960-1912
Country : US
Telephone Number : 845-348-2270
Fax Number : 845-348-8430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/06/2017

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