Dr. Charles John Ptak JR.
Oral and Maxillofacial Surgeon
92 Norman Ave
Brooklyn
, New York 11222-2934
Dr. Charles John Ptak JR.
Oral and Maxillofacial Surgeon
92 Norman Ave
Brooklyn
, New York 11222-2934
(718) 349-0930
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Charles John Ptak JR.
- 92 Norman Ave
- Brooklyn, NY
- Zip : 11222-2934
- Fax : (718) 349-0930
- Phone : (718) 383-5551
Second Address
- Dr. Charles John Ptak JR.
- 92 Norman Ave
- Brooklyn, NY
- Zip : 11222-2934
- Fax : (718) 349-0930
- Phone : (718) 383-5551
Reviews
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Is Dr. Charles John Ptak JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 034744 | NY |
National Provider Identifier
| NPI | 1083629778 |
|---|---|
| Provider Name | Dr. Charles John Ptak JR. |
| First Address | Brooklyn, NY 11222-2934 |
| Second Address | Brooklyn, NY 11222-2934 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00782729 | (05) | NY |
| T49500 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.