Individual
MR. ALAIN CHARLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
250 N MAIN ST APT F223, SPRING VALLEY, NY 10977-4019
(845) 200-1067
Mailing address
250 N MAIN ST APT F23, SPRING VALLEY, NY 10977
(845) 200-1067
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296435-1
NY
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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