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Contact Information

CHARLES H BAGLEY, MD
21814 NORTHERN BLVD
101
BAYSIDE, NY11361-3581
 Phone: 718-229-4868
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for CHARLES H BAGLEY · (Male)

NPI # 1568496115
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 05/01/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 132024
  • NY Medicaid 01015892
  • NY Other 132024 NYS LICENSE
Hospital affiliation(s) Not Available
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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