Individual
CHARLES DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
714 E PARK AVE, LONG BEACH, NY 11561-2625
(516) 323-9145
Mailing address
218 E PARK AVE # 421, LONG BEACH, NY 11561-3521
(516) 323-9145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012789
NY
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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