Individual
DR. CHARLES WILLIAM NORDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 E 193RD ST, MMC FAMILY HEALTH CENTER, BRONX, NY 10458-4710
(914) 637-6801
(718) 329-8452
Mailing address
1036 RHINELANDER AVE, BRONX, NY 10461-1308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
137790
NY
207RC0000X
Cardiovascular Disease Physician
Primary
137790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00797026
—
NY
Enumeration date
11/02/2006
Last updated
01/06/2012
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