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Individual

DR. CHARLES ANDREW POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 E 102ND ST, NEW YORK, NY 10029-6030
(212) 241-5656
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
184576
NY
207RP1001X
Pulmonary Disease Physician
Primary
184576
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01873270
NY
Enumeration date
11/30/2006
Last updated
09/12/2024
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