Individual
MR. CHARLES E OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
59-22 57TH ROAD, MASPETH, NY 11378
(917) 692-8805
Mailing address
59-22 57TH ROAD, MASPETH, NY 11378
(917) 692-8805
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302322
NY
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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