Individual
DR. CHARLES F. ENTELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 5TH AVE, NEW YORK, NY 10128-0724
(212) 369-1628
(914) 337-3085
Mailing address
1150 5TH AVE, NEW YORK, NY 10128-0724
(212) 369-1628
(914) 337-3085
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
124899
NY
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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