Individual
CHARLES LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
16 PINELAND PL, BRENTWOOD, NY 11717-7415
(516) 356-2958
Mailing address
16 PINELAND PL, BRENTWOOD, NY 11717-7415
(516) 356-2958
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013650-1
NY
Other
Enumeration date
09/19/2010
Last updated
09/19/2010
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