# JESSE N CHARNOFF MD P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548173404
- **Authorized official:** DR. JESSE NATHANIEL CHARNOFF MD (OWNER)
- **Authorized official phone:** (516) 567-7254

## Contact information

- **Practice address:** 333 EARLE OVINGTON BLVD STE 106, UNIONDALE, NY 11553-3645
- **Practice address phone:** (212) 224-7950
- **Mailing address:** PO BOX 626, GREAT RIVER, NY 11739-0626
- **Mailing address phone:** (631) 778-7769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2026
- **Last updated:** 09/23/2026