MEDICARE: SETH S CHARATZ D.O.

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
1	208M00000X	Hospitalist Physician	242849	NY
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	242849	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00621969	OTHER	NY	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801833850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETH S CHARATZ D.O.

Provider Business Mailing Address
First Line	:	224 ALEXANDER ST
Second Line	:	SUITE 200
City	:	ROCHESTER
State	:	NY
Zip	:	14607-4000
Country	:	US
Telephone Number	:	585-922-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	224 ALEXANDER ST
Second Line	:	SUITE 200
City	:	ROCHESTER
State	:	NY
Zip	:	14607-4000
Country	:	US
Telephone Number	:	585-922-8400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	08/31/2022

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Directions to “ SETH S CHARATZ D.O.” Practice Location

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