Individual
CHERUBIN LUDERS CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 N WASHINGTON AVE, CENTEREACH, NY 11720-1925
(631) 575-9096
Mailing address
195 N WASHINGTON AVE, CENTEREACH, NY 11720-1925
(631) 575-9096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
545578-1
NY
Other
Enumeration date
07/08/2018
Last updated
07/08/2018
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