Charles J Bleifeld, M.D. Valid NPI
Individual provider · Specialist · Smithtown, NY
- NPI
- 1639191968
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- 103836-1 (NY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-24
- Last updated
- 2011-06-09
Practice location
48 Route 25a, Suite 106
Smithtown, NY 11787-1431
(631) 863-1007