Individual
DR. CHARLES I. HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 CANAL ST, SUITE 206, NEW YORK, NY 10013-4155
(212) 349-5799
Mailing address
72 CIRCUIT RD, TUXEDO PARK, NY 10987-4046
(617) 734-5984
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
051051
MA
2085R0202X
Diagnostic Radiology Physician
25MA09020000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008441
—
MA
Enumeration date
07/03/2006
Last updated
04/23/2026
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