Organization
CHARLES P KIMMELMAN MD FACS PC
Active
Other names
CHARLES P KIMMELMAN MD FACS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES PAUL KIMMELMAN MD (PRESIDENT)
(212) 717-7262
Entity
Organization
Contact information
Practice address
993 PARK AVE, STE C, NEW YORK, NY 10028-0809
(212) 717-7262
(212) 717-1307
Mailing address
993 PARK AVE, STE C, NEW YORK, NY 10028-0809
(212) 717-7262
(212) 717-1307
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165440
NYS LICENSE
NY
01
—
WYTXP1
ORGANIZATIONAL PTAN
NY
Enumeration date
05/08/2008
Last updated
11/04/2008
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