Individual
CLAUDE IRENE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1809 MONACO AVE, ELMONT, NY 11003-4332
(516) 616-0550
Mailing address
1809 MONACO AVE, ELMONT, NY 11003-4332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
48611
NY
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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