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Individual

MRS. MARTINE JEAN-CHARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2056
(718) 270-4217
Mailing address
1705 TROY AVE, BROOKLYN, NY 11234-1424
(718) 763-3040

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5321
NY

Other

Enumeration date
06/30/2008
Last updated
06/30/2008
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