Individual
MS. CAMELLE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7392
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
364355
NY
363L00000X
Nurse Practitioner
F302984
NY
363L00000X
Nurse Practitioner
F333843
NY
Other
Enumeration date
03/26/2007
Last updated
09/11/2025
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