Provider Demographics
NPI:1639557382
Name:SINERI, CHARLES F II (DO)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:F
Last Name:SINERI
Suffix:II
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BARD AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1662
Mailing Address - Country:US
Mailing Address - Phone:718-818-1234
Mailing Address - Fax:
Practice Address - Street 1:300 BARD AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1662
Practice Address - Country:US
Practice Address - Phone:718-818-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2885711207R00000X
IDOC-0300207RC0000X
GA95915207RC0000X
AL3223207RC0000X
KS05-47725207RC0000X
KYC1621207RC0000X
IL036164590207RC0000X
NY288571207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine