Organization
CHARLENE CHAO, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE CHAO MD (OWNER)
(718) 833-2699
Entity
Organization
Contact information
Practice address
802 64TH STREET, STE 2F, BROOKLYN, NY 11220-5573
(718) 833-2699
(718) 833-2667
Mailing address
802 64TH STREET, STE 2F, BROOKLYN, NY 11220-5573
(718) 833-2699
(718) 833-2667
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
243672
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07813298
—
NY
05
—
1396756219
—
NY
Enumeration date
02/15/2013
Last updated
12/23/2024
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