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Individual

CHARLES CASALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3760
(607) 547-6995
Mailing address
809 VINEYARD ST, COHOES, NY 12047-4848
(516) 446-4858

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
185252
NY
207RG0100X
Gastroenterology Physician
Primary
185252
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2000261
MA
01
J25721
BC MA
MA
Enumeration date
11/01/2006
Last updated
03/26/2021
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