Doctor Name: | ABIGAIL R. CHARTER |
NPI Number: | 1164720066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 014600 |
Business Practice Address: | 3767 Main St Warrensburg, NY - 128851890 |
Business Phone Number: | 5186232844 |
Business Fax Number: | 5186233416 |
Mailing Address: | 9 Carey Road, QUEENSBURY |
State: | NY |
Postal Code: | 128047880 |
Phone Number: | 5187610300 |
Fax Number: | 5187451378 |
NPI Enumeration Date: | 03/02/2011 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 014600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |