Individual
DR. CHARLES WINTOUR SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, BOX 140, NEW YORK, NY 10065-4870
(212) 746-5709
(212) 746-5944
Mailing address
525 E 68TH ST, BOX 140, NEW YORK, NY 10065-4870
(212) 746-5709
(212) 746-5944
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
290321
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2016
Last updated
07/24/2017
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