| Charles C Kim, MD | |
|
61 Delano St, Pulaski, NY 13142-1400 | |
| (315) 298-6564 | |
| (315) 298-7488 |
| Full Name | Charles C Kim |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 61 Delano St, Pulaski, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548254022 | NPI | - | NPPES |
| 331880 | Other | NY | FQHC NUMBER |
| 00307662 | Medicaid | NY | |
| 00114410 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 114410 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles C Kim, MD 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 | Charles C Kim, MD 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 |
Jay W Chapman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-3968 | |
Grace Nasri, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 | |
Patricia L Chapman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 | |
Amanda Ray, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 61 Delano St, Northern Oswego County Health Services, Inc., Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 | |
Glenn F Thibault, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488 | |
Dr. Patrick J Carguello, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 |