Individual
MR. FRITZ M CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20809 100TH AVE, QUEENS VILLAGE, NY 11429-1020
(718) 776-4808
(718) 776-4808
Mailing address
20809 100TH AVE, QUEENS VILLAGE, NY 11429-1020
(718) 776-4808
(718) 776-4808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001647-1
NY
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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