Provider Demographics
NPI:1538142468
Name:CHARIG, DAVID (RPA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:CHARIG
Suffix:
Gender:M
Credentials:RPA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:200 CENTRAL PARK S
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1436
Mailing Address - Country:US
Mailing Address - Phone:212-262-2500
Mailing Address - Fax:212-246-0890
Practice Address - Street 1:200 CENTRAL PARK S
Practice Address - Street 2:SUITE 107
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1436
Practice Address - Country:US
Practice Address - Phone:212-262-2500
Practice Address - Fax:212-246-0890
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY002185363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant