Individual
ANNA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 BEACH 125TH ST, ROCKAWAY PARK, NY 11694-1707
(347) 330-9743
Mailing address
511 BEACH 125TH ST, ROCKAWAY PARK, NY 11694-1707
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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