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Individual

CHARLES E CULBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4201 BUFFALO RD, NORTH CHILI, NY 14514-1201
(585) 594-5995
(585) 594-5425
Mailing address
4201 BUFFALO RD, ATTN NANCY MOFFETT, NORTH CHILI, NY 14514-1201
(585) 594-5995
(585) 594-5425

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
137905
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00025581301
UNIVERA
NY
05
00355266
NY
01
0414040
IHA
NY
01
100855BJ
PREFERRED CARE
NY
01
110244049
MEDICARE RAILROAD
NY
01
11122053
CAQH
NY
01
2342
SIDNEY HILLMAN
NY
01
P010137905
BLUE CHOICE
NY
Enumeration date
05/02/2006
Last updated
08/21/2007
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