Individual
CAROLIE JN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E 241ST ST, BRONX, NY 10470-1303
(718) 671-2100
Mailing address
801 E 241ST ST, BRONX, NY 10470-1303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
971663
NY
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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