Individual
CHARLES LOUIS INGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1735 STATE ROUTE 173, CHITTENANGO, NY 13037-8705
(315) 687-9815
Mailing address
1735 STATE ROUTE 173, CHITTENANGO, NY 13037-8705
(315) 687-9815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
577851-1
NY
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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