Individual
MR. CHARLES EDWIN SCORSE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2986 CHURCH RD, HAMLIN, NY 14464-9758
(585) 749-5188
Mailing address
2986 CHURCH RD, HAMLIN, NY 14464-9758
(585) 749-5188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
653769
NY
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
653769
NY
163WM0705X
Medical-Surgical Registered Nurse
653769
NY
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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