# CHARLES J. BACALL MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306259304
- **Authorized official:** CHARLES J BACALL MD (PRESIDENT)
- **Authorized official phone:** (212) 289-4500

## Contact information

- **Practice address:** 1126 PARK AVE, NEW YORK, NY 10128-1203
- **Practice address phone:** (212) 289-4500
- **Practice address fax:** (212) 289-6793
- **Mailing address:** 1126 PARK AVE, NEW YORK, NY 10128-1203
- **Mailing address phone:** (212) 289-4500
- **Mailing address fax:** (212) 289-6793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 129470 | NY | Yes |

## Other

- **Enumeration date:** 06/06/2014
- **Last updated:** 06/06/2014