Charles G Bleecher Mdpc

NPI #1730203308 in Selden, New York

Provider Information

NPI Number: 1730203308
Entity Type: Organization
Organization Name: Charles G Bleecher Mdpc
Primary Specialty: Specialist
Enumeration Date: Mar 19, 2007
Last Updated: Aug 20, 2012

Practice Location

Address: 243 BOYLE RD
City: Selden
State: New York
ZIP Code: 11784-1929
Phone: (631) 696-2000

Authorized Official

Name: CHARLES G BLEECHER, MD
Title: PRESIDENT
Phone: (631) 696-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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