Individual
DR. JEANNETTE BOURSIQUOT-CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1072 SMITH ST, UNIONDALE, NY 11553-3023
(347) 493-4580
Mailing address
1072 SMITH ST, UNIONDALE, NY 11553-3023
(347) 493-4580
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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