Individual
DR. CARL M. CHARNETSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 IVY ST, 2ND FLOOR, ELMIRA, NY 14905-1646
(607) 735-4633
(607) 735-4628
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
245012
NY
207R00000X
Internal Medicine Physician
MD061252L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02925799
—
NY
Enumeration date
02/23/2006
Last updated
03/12/2019
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