Provider Demographics
NPI:1568544955
Name:CHARLES I. JAROWSKI, M.D.,PC.
Entity Type:Organization
Organization Name:CHARLES I. JAROWSKI, M.D.,PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-794-9500
Mailing Address - Street 1:400 E 77TH ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-2366
Mailing Address - Country:US
Mailing Address - Phone:212-794-9500
Mailing Address - Fax:212-734-8350
Practice Address - Street 1:400 E 77TH ST STE 1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-2366
Practice Address - Country:US
Practice Address - Phone:212-794-9500
Practice Address - Fax:212-734-8350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116780207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NS4435OtherOXFORD
NY00299674Medicaid
0C1334OtherHEALTH NET
NY00299674Medicaid
NYB12431Medicare UPIN
=========0001OtherCIGNA
NY00299674Medicaid