DR. CHARLES L GARBO (NPI# 1942363346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942363346 |
| Entity Type | Individual |
| Full Name | DR. CHARLES L GARBO |
| Credential | M.D. |
| Practice Address |
201 Harris B Dates Dr Suite 102 Ithaca NY 14850-1345 |
| Practice Telephone | 6072725414 |
| Practice Fax Number | 6072726121 |
| Mailing Telephone | 6072725414 |
| Mailing Fax Number | 6072726121 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
190523-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01383971 | 05 |
| Street Address |
201 HARRIS B DATES DR SUITE 102 |
| City | ITHACA |
| State | NY |
| Zip Code | 14850-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376605501 | Timothy Eric Bael | Internal Medicine | 201 Harris B Dates Dr, Suite 102, Ithaca, NY 14850-1345 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123897 | Michelle Lee Sanito | Registered Nurse | 400 Lake Street, Ithaca, NY 14850 | 2020-10-30 |
| 1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
| 1518581701 | Sameer Acharya | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-03 |
| 1699399873 | Anurag Aryal | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Internal Medicine Residency, Cayuga Med, Ithaca, NY 14850 | 2020-06-03 |
| 1932723228 | Binay Kumar Kshetree | Student in an Organized Health Care Education/Training Program | Cayuga Medical Center, 101 Dates Drive, Ithaca, NY 14850 | 2020-06-02 |
| 1225657349 | Nima Hazrati Pour Fard | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Cayuga Medical Center, 101, Ithaca, NY 14850 | 2020-04-09 |
| 1326671090 | Garret Hoskey | Specialist/Technologist | 953 Dany Road, Ithaca, NY 14850 | 2020-02-20 |
| 1609407709 | En-ting Hsu | Marriage & Family Therapist | 110 N. Cayuga Street 4th Floor Suite 3, Ithaca, NY 14850 | 2020-01-28 |
| 1306491063 | Patrick Owen Mckeon | Specialist/Technologist | Hill Center G66, 953 South Danby Rd., Ithaca, NY 14850 | 2019-08-08 |
| 1538722343 | Priyesh Thakurathi | Student in an Organized Health Care Education/Training Program | 101 Dates Drive Cayuga Medical Center, Internal Medicine Residency Program, Ithaca, NY 14850 | 2019-04-17 |
| Find all providers in zip 14850 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376605501 | Timothy Eric Bael | Internal Medicine | 201 Harris B Dates Dr, Suite 102, Ithaca, NY 14850-1345 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861058778 | Robert Lee De Jager | Internal Medicine | 27 Barker Ave Apt 403, White Plains, NY 10601-1559 | 2019-05-15 |
| 1033623178 | Advanced Care Associates LLC | Internal Medicine | 455 North End Avenue, Ground Floor, Welness Center, New York, NY 10282-5383 | 2017-11-28 |
| 1043738644 | Megan Greally | Internal Medicine | 303 East 60th Street Apartment 37e, New York, NY 10022 | 2017-09-03 |
| 1437675154 | Feng Hematology and Medical Oncology Pllc | Internal Medicine | 833 58th Street, Brooklyn, NY 11220 | 2017-08-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1376095901 | Carolyn Michele Paradise | Internal Medicine | 6 Gilman Ln, Cortlandt Manor, NY 10567-6204 | 2016-10-31 |
| 1821444001 | Advanced Hematology Oncology Pllc | Internal Medicine | 4235 Main St Ste 3h, Flushing, NY 11355-3956 | 2016-05-06 |
| 1174992184 | Tetyana Koulikova | Internal Medicine | 2272 63rd St Apt 2f, Brooklyn, NY 11204-3153 | 2015-09-20 |
| 1588031389 | Taha Oncology PC | Internal Medicine | 568b Buchanan Ave, Staten Island, NY 10314-4160 | 2015-08-27 |
| 1609251123 | Gene Resnick | Internal Medicine | 59 Alex Dr, White Plains, NY 10605-3414 | 2015-07-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.