Individual
MRS. MARTINE JEAN-CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
941 OLD TOWN RD, CORAM, NY 11727-1108
(631) 846-8592
Mailing address
941 OLD TOWN RD, CORAM, NY 11727-1108
(631) 846-8592
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4303151
NY
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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