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Dr. Charles J Bleifeld, MD
Specialist in Smithtown, New York
NPI 1639191968

Charles J Bleifeld is a Specialist based in Smithtown, NY. Charles J Bleifeld practices in Smithtown, NY and has the professional credentials of MD. The NPI Number for Charles J Bleifeld is 1639191968 and holds a License No. 103836-1 (New York).

The current practice location address for Charles J Bleifeld is 48 Route 25A, Smithtown, NY and can be reached out via phone at 631-863-1007 and via fax at 631-862-3668.

Location: 48 Route 25A, Smithtown, NY, 11787-1431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639191968
Provider Name
Charles J Bleifeld
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
48 Route 25A, Smithtown, NY, 11787-1431
Phone Number
631-863-1007
Fax Number
631-862-3668
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
446211 01 NY EMPIRE BC/BS
institution
Provider Business Practice Location Address Details
Address
48 Route 25A
City
Smithtown
State
New York
Zip
11787-1431
Phone Number
631-863-1007
Fax Number
631-862-3668
person
Provider Business Mailing Address Details
Address
48 Route 25A
City
Smithtown
State
New York
Zip
11787-1431
Phone Number
631-863-1007
Fax Number
631-862-3668
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
103836-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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