Dr. Charles T Mann, M.D.
Obstetrics & Gynecology in Smithtown, NY. Individual provider (NPI-1).
NPI number1043320344
StatusActive
Last updated in NPPESDec 3, 2019
Details
- NPI
- 1043320344
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles T Mann
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Dec 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 130346 | NY | Yes |
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 130346 | NY | |
| 207VX0000X | Obstetrics & Gynecology, Obstetrics | 130346 | NY |
Practice location
48 Route 25a Ste 207Smithtown, NY 11787-1448
Phone 631-862-3800
Mailing address
900 Merchants Concourse Ste 216Westbury, NY 11590-5114
Phone 516-226-8373
Other practice locations
2500 Route 347 Bldg 10a
Stony Brook, NY 11790-2553
Stony Brook, NY 11790-2553
Phone 631-751-0934
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