Individual
CHARLES L BARDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 E 70TH ST # HT-4, NEW YORK, NY 10021-4872
(212) 746-1333
(212) 746-0184
Mailing address
505 E 70TH ST # HT-4, NEW YORK, NY 10021-4872
(212) 746-0373
(212) 746-7481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
172867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01148076
—
NY
Enumeration date
10/09/2006
Last updated
09/14/2011
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