Individual
JEAN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6000
(718) 206-6085
Mailing address
11827 197TH ST, SAINT ALBANS, NY 11412-3455
(718) 525-2388
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
238514
NY
207P00000X
Emergency Medicine Physician
OS9679
FL
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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