Individual
CHARLIE KATEHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 BROADWAY, NEW YORK, NY 10018-2301
(212) 221-3844
Mailing address
290 9TH AVE APT 6B, NEW YORK, NY 10001-5726
(917) 204-4608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
067604
NY
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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