Individual
MR. CHARLES A LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1301 TRUMANSBURG RD, STE E, ITHACA, NY 14850-1397
(607) 273-3161
(607) 273-4979
Mailing address
6256 ROUTE 41, HOMER, NY 13077
(607) 273-3161
(607) 273-4979
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003099
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271434
—
NY
Enumeration date
06/01/2005
Last updated
12/12/2011
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