Individual
DR. CHARLES A ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
931 HALLOCK AVENUE, PORT JEFFERSON STATION, NY 11776
(631) 331-7200
(631) 331-8636
Mailing address
931 HALLOCK AVENUE, PORT JEFFERSON, NY 11776
(631) 331-7200
(631) 331-8636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
167850
NY
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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