Individual
ANTONIA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
539 ATLANTIC AVE # 170619, BROOKLYN, NY 11217-1913
(347) 249-3620
Mailing address
539 ATLANTIC AVE # 170619, BROOKLYN, NY 11217-1913
(347) 249-3620
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
893900
NY
Other
Enumeration date
07/13/2008
Last updated
10/12/2022
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