Individual
MR. CHARLES CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2928 W 36TH ST, BROOKLYN, NY 11224-1410
(718) 372-3300
Mailing address
4 BRANT WALK, ROCKAWAY POINT, NY 11697-1820
(718) 474-4475
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00057385
—
NY
Enumeration date
05/12/2010
Last updated
05/12/2010
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