Individual
DR. CHARLES JOSEPH KANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 N VILLAGE AVE, SUITE 300, ROCKVILLE CENTRE, NY 11570-2341
(516) 766-2929
(516) 766-7728
Mailing address
200 N VILLAGE AVE, SUITE 300, ROCKVILLE CENTRE, NY 11570-2341
(516) 766-2929
(516) 766-7728
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
136196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068633
GHI HMO
—
01
—
096588-A32
HEALTH FIRST
—
01
—
1000374
GHI
—
01
—
113480
AETNA
—
01
—
136196
HIP
—
01
—
21138
VYTRA
—
01
—
2C7197
CARE CORE
—
01
—
340004031
RAIL ROAD MEDICARE
NY
01
—
5252217001
CIGNA
—
01
—
AB00723
MNDY
—
01
—
AS1074
OXFORD
—
01
—
CK097A8910
BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/03/2005
Last updated
02/21/2008
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