National Provider Identifier Database

CHARLES G BLEECHER MDPC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

CHARLES G BLEECHER MDPC
243 BOYLE RD
SELDEN, NY11784-1929
Phone: 631-696-2000
Fax: 631-696-2003
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for CHARLES G BLEECHER MDPC

NPI Number 1730203308
Legal business name
LBN
CHARLES G BLEECHER MDPC
Authorized official CHARLES BLEECHER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/19/2007
Last updated 08/20/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 171781

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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