Individual
DR. KEVIN ALEXANDER CHARLOTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4150 78TH ST STE 102103, Q-CARE AFFORDABLE MEDICAL CARE, PLLC, ELMHURST, NY 11373-1950
(718) 606-0187
(718) 606-0958
Mailing address
4150 78TH ST, SUITE 102/103, ELMHURST, NY 11373-1950
(718) 606-0187
(718) 606-0958
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
221293
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02230353
—
NY
Enumeration date
12/05/2005
Last updated
04/26/2011
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