Organization
DIANNE CHARLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE CHARLES (LPN)
(917) 500-9332
Entity
Organization
Contact information
Practice address
663 E 220TH ST, BRONX, NY 10467-5317
(317) 500-9332
Mailing address
663 EAST 220 STREET, BRONX, NY 10467
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
267754
NY
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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