Individual
CHARLES VOLLMOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1111 MONTAUK HWY STE 3, WEST ISLIP, NY 11795-4910
(631) 669-1171
Mailing address
800 MONTAUK HWY STE 18, SHIRLEY, NY 11967-2128
(631) 772-4646
(631) 772-2495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021163
NY
363A00000X
Physician Assistant
6626
TN
Other
Enumeration date
08/16/2017
Last updated
08/22/2025
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