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Individual
REGINALD CHARLES
Active
Individual
REGINALD CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
408062
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
408062
NY
Other
Enumeration date
01/23/2026
Last updated
02/11/2026
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