Individual
CHARLES HENRY ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110-00 ROCKAWAY BLVD., THE NEW YORK RACING ASSOCIATION, INC, JAMAICA, NY 11417
(718) 659-2361
(718) 659-3592
Mailing address
222 EAST 80TH STREET, #11D, NEW YORK, NY 10075
(212) 879-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
6-107758
NY
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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