Individual
MRS. MARLYNE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(718) 918-3060
Mailing address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001064
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02335720
—
NY
Enumeration date
10/13/2006
Last updated
03/05/2021
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