Individual
DR. CHARU CHAMPANERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,FAAP
Contact information
Practice address
6860 108TH ST, FOREST HILLS, NY 11375-2973
(718) 793-4003
Mailing address
6860 108TH ST, FOREST HILLS, NY 11375-2973
(718) 793-4003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
162530
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03871932
—
NY
Enumeration date
02/13/2007
Last updated
03/06/2018
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