Individual
CHARLA ENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 DAWSON AVE, KINGS PARK, NY 11754-1514
(561) 951-8691
Mailing address
28 DAWSON AVE, KINGS PARK, NY 11754-1514
(561) 951-8691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
570618
NY
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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