Individual provider · Type 1 NPI

Charles J. Lightdale, MD

Gastroenterology Physician · New York, NY

NPI number 1063586014 Active

Practice location

161 Fort Washington Ave
New York, NY 10032-3729

Call (212) 305-4382 Map

Mailing address

630 W 168th St # 4, Vc 12th Floor, Suite 208
New York, NY 10032-3725

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Physician Primary 207RG0100X108616 (NY)

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

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About NPI 1063586014

Charles J. Lightdale, MD's National Provider Identifier is 1063586014, issued on Nov 20, 2006. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.