Individual
CHARLES M THURBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
668 PARK PL, ELMIRA, NY 14901-2033
(607) 734-4582
(607) 734-4596
Mailing address
668 PARK PL, ELMIRA, NY 14901-2033
(607) 734-4582
(607) 734-4596
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003322-1
NY
213E00000X
Podiatrist
SC005738
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00743962
—
NY
01
—
P010103322
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
07/31/2006
Last updated
05/08/2008
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