Individual
PATRICIA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 WEBSTER AVE, BRONX, NY 10457-8059
(718) 295-5180
Mailing address
1600 WEBSTER AVE, BRONX, NY 10457-8059
(718) 295-5180
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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