Individual
MR. CLIFFORD ANDREW CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
514 CEDAR ST, UNIONDALE, NY 11553-2139
(516) 643-6365
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 643-6365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
610762
NY
Other
Enumeration date
11/02/2022
Last updated
08/21/2025
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