Individual
MR. CHARLES LEE EATON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 756-3740
Mailing address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 756-3740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348533
NY
Other
Enumeration date
08/03/2018
Last updated
04/14/2022
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