Individual
CHARLES TAKYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2054 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Mailing address
18 MARSHALL ST., APT #9D, IRVINGTON, NJ 07111
(973) 866-6911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
307577
NY
164W00000X
Licensed Practical Nurse
Primary
307577-1
NY
Other
Enumeration date
01/24/2012
Last updated
03/21/2019
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