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Contact Information

CHARLES G BLEECHER, MD
243 BOYLE RD
SELDEN, NY11784-1954
 Phone: 631-696-2000
 Fax: 631-696-2003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHARLES G BLEECHER · (Male)

NPI # 1134117989
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2005
Last updated 05/13/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 171781
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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