Individual
MICHEL-JOSE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3621 GLENWOOD RD, BROOKLYN, NY 11210-1944
(718) 434-0202
Mailing address
157 SAINT PAULS RD N, HEMPSTEAD, NY 11550-1133
(718) 434-0202
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
196901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01549715
—
NY
Enumeration date
05/25/2006
Last updated
12/08/2024
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