Provider Demographics
NPI:1023190683
Name:FRIEDLANDER, CHARLES ARTHUR (RPA C)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:ARTHUR
Last Name:FRIEDLANDER
Suffix:
Gender:M
Credentials:RPA C
Other - Prefix:
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Mailing Address - Street 1:6 HERITAGE HILLS DRIVE
Mailing Address - Street 2:
Mailing Address - City:WYNANTSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12198
Mailing Address - Country:US
Mailing Address - Phone:518-283-3256
Mailing Address - Fax:518-783-5426
Practice Address - Street 1:694 TROY SCHENECTADY RD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110
Practice Address - Country:US
Practice Address - Phone:518-783-7173
Practice Address - Fax:518-783-5426
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0016301363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant