Garbo, Charles L
Garbo, Charles L is an individual health care provider with primary practice located at 201 Harris B Dates Dr Suite 102, Ithaca NY 14850-1345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Garbo, Charles L can be contacted via phone (607) 272-5414.Contact Information
Primary practice address
201 Harris B Dates Dr Suite 102
Ithaca NY 14850-1345
Phone: (607) 272-5414
Fax: (607) 272-6121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 190523-1 | New York |
Profile Details
| NPI number | 1942363346 |
|---|---|
| LBN Legal business name | Garbo, Charles L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Oct 28th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942363346 | NPPES |
| New York | MEDICAID | 01383971 |
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