Individual
MR. CHARLES FREDNICK PISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTL
Contact information
Practice address
1302 KINGS HIGHWAY, MILLENIUM REHAB SERVICES, BROOKLYN, NY 11229
(718) 998-3700
(719) 998-9100
Mailing address
184 EAST 17TH STREET, HUNTINGTON STATION, NY 11746
(516) 996-4332
(631) 427-3147
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011856-1
NY
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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