Drake, Charles George

Drake, Charles George is an individual health care provider with primary practice located at 161 Fort Washington Ave , New York NY 10032-3729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Drake, Charles George can be contacted via phone (212) 305-5098.

Contact Information

Primary practice address
161 Fort Washington Ave New York NY 10032-3729
Phone: (212) 305-5098
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D59039 Maryland
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 287243 New York

Profile Details

NPI number 1346297397
LBN Legal business name Drake, Charles George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Feb 8th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346297397 NPPES
Maryland MEDICAID 401519300

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