Dr Charles L Stackhouse, MD | |
4 Coulter Rd, Clifton Springs, NY 14432-1122 | |
(315) 462-2636 | |
(315) 462-2638 |
Full Name | Dr Charles L Stackhouse |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 4 Coulter Rd, Clifton Springs, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932174497 | NPI | - | NPPES |
00835396 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 143099 (New York) | Secondary |
208600000X | Surgery | 1430991 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Charles L Stackhouse, MD 4567 Crossroads Park Dr, Liverpool, NY 13088-3589 Ph: (315) 295-2100 | Dr Charles L Stackhouse, MD 4 Coulter Rd, Clifton Springs, NY 14432-1122 Ph: (315) 462-2636 |
Matthew Perry Schiralli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4 Coulter Rd Ste 2605, Clifton Springs, NY 14432 Phone: 315-462-2636 Fax: 315-462-2638 | |
Dr. John Alfred Porter, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4 Coulter Rd, #58, Clifton Springs, NY 14432 Phone: 315-462-1485 Fax: 315-462-2619 |