Individual
JUDITH MIRIAM CHARNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8049 260TH ST, FLORAL PARK, NY 11004-1201
(718) 470-1338
Mailing address
8049 260TH ST, FLORAL PARK, NY 11004-1201
(718) 470-1338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011938-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01475098
—
NY
01
—
V5I451
MEDICARE- POSSIBLY EXPIRED
NY
Enumeration date
07/27/2009
Last updated
07/27/2009
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