Individual
MS. MARIE CHARLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., M.S.N.
Contact information
Practice address
21 WOODCREST DR, SAINT JAMES, NY 11780-3806
(631) 682-8624
Mailing address
21 WOODCREST DR, SAINT JAMES, NY 11780-3806
(631) 682-8624
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
598448-1
NY
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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