Individual
CHARLES R BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
LIFETIME HEALTH 120 GARDENVILLE PKWY, WEST SENECA, NY 14224
(716) 668-3600
Mailing address
585 W FERRY ST, BUFFALO, NY 14222-1548
(315) 335-3473
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010534
NY
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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