Individual
CHARLES ALFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NYS . OTA
Contact information
Practice address
141 DOSORIS LN, GLENGARIFF HEALTH CARE CENTER, GLEN COVE, NY 11542-1225
(516) 676-1100
Mailing address
15 STARKS PL, LYNBROOK, NY 11563-4024
(516) 851-6098
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006539
NY
Other
Enumeration date
01/18/2007
Last updated
10/12/2016
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