Individual
DR. CHARLES L. IHLENFELD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 SOUTH MENANTIC ROAD, SHELTER ISLAND HEIGHTS, NY 11965
(631) 278-5127
(631) 749-3079
Mailing address
PO BOX 576, SHELTER ISLAND HEIGHTS, NY 11965-0576
(631) 278-5127
(631) 749-3079
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
092919
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M00150376 Y0608
—
NY
Enumeration date
07/12/2005
Last updated
09/05/2013
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