Individual
MR. CHARLES BARTHOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
181 W MAIN ST, BABYLON, NY 11702-3435
(631) 422-2300
(631) 422-3398
Mailing address
181 W MAIN ST, BABYLON, NY 11702-3435
(631) 422-2300
(631) 422-3398
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
210761-1
NY
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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