Organization
CHARLES G BLEECHER MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES G BLEECHER MD (PRESIDENT)
(631) 696-2000
Entity
Organization
Contact information
Practice address
243 BOYLE RD, SELDEN, NY 11784-1929
(631) 696-2000
(631) 696-2003
Mailing address
243 BOYLE RD, SELDEN, NY 11784-1929
(631) 696-2000
(631) 696-2003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
171781
NY
Other
Enumeration date
03/19/2007
Last updated
08/20/2012
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