Ives, Charlene A

Ives, Charlene A is an individual health care provider with primary practice located at 258 Hoosick St Ste 206 , Troy NY 12180-2450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Ives, Charlene A can be contacted via phone (518) 272-2097.

Contact Information

Primary practice address
258 Hoosick St Ste 206 Troy NY 12180-2450
Phone: (518) 272-2097
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 042-0010450 Vermont
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 236239 New York

Profile Details

NPI number 1548286362
LBN Legal business name Ives, Charlene A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 4th, 2022 - about 3 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 1548286362 NPPES
New York MEDICAID 02671869
New York MEDICAID 1009057

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