Individual
DR. CHARLES L HAREWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6802 RIDGE BLVD, BROOKLYN, NY 11220-5829
(718) 836-0400
(718) 680-0366
Mailing address
6802 RIDGE BLVD, BROOKLYN, NY 11220-5829
(718) 836-0400
(718) 680-0366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
133874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00399880
—
NY
Enumeration date
11/21/2005
Last updated
06/24/2016
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