Individual
CHARLES VAN METER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180-2466
(540) 520-4024
(518) 271-3682
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 271-3682
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
245709
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00318805
—
NY
Enumeration date
10/12/2007
Last updated
05/26/2021
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