Organization
CHB MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H BAGLEY MD (OWNER)
(212) 280-7774
Entity
Organization
Contact information
Practice address
777 W END AVE, 1B, NEW YORK, NY 10025-5551
(212) 280-7774
(212) 280-7775
Mailing address
777 W END AVE, 1B, NEW YORK, NY 10025-5551
(212) 280-7774
(212) 280-7775
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
132024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01015892
—
NY
Enumeration date
07/30/2008
Last updated
07/30/2008
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