# CHARLES P KIMMELMAN MD FACS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHARLES P KIMMELMAN MD FACS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386811479
- **Authorized official:** DR. CHARLES PAUL KIMMELMAN MD (PRESIDENT)
- **Authorized official phone:** (212) 717-7262

## Contact information

- **Practice address:** 993 PARK AVE, STE C, NEW YORK, NY 10028-0809
- **Practice address phone:** (212) 717-7262
- **Practice address fax:** (212) 717-1307
- **Mailing address:** 993 PARK AVE, STE C, NEW YORK, NY 10028-0809
- **Mailing address phone:** (212) 717-7262
- **Mailing address fax:** (212) 717-1307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | NULL | Yes |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 11/04/2008