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Contact Information

CHARLES L IHLENFELD II, MD
14 SOUTH MENANTIC ROAD
SHELTER ISLAND HEIGHTS, NY11965
 Phone: 631-278-5127
 Fax: 631-749-3079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CHARLES L IHLENFELD II · (Male)

NPI Number 1699773705
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2005
Last updated 09/05/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 092919
  • NY Medicaid M00150376 Y0608
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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