Individual
BARBARA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
54 DUKE ST, DEER PARK, NY 11729-6904
(631) 254-6516
(631) 254-6516
Mailing address
54 DUKE ST, DEER PARK, NY 11729-6904
(631) 254-6516
(631) 254-6516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301604-1
NY
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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