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Organization

ST. CHARLES HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ARIELLEN CALIVAS PT, DPT (SITE SUPERVISOR)
(631) 577-3400
Entity
Organization

Contact information

Practice address
1895 WALT WHITMAN RD, MELVILLE, NY 11747-3031
(631) 577-3400
Mailing address
1895 WALT WHITMAN RD, MELVILLE, NY 11747-3031
(631) 577-3400

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
031178
NY

Other

Enumeration date
03/02/2009
Last updated
03/02/2009
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