Individual
CHARLES E PLUVIOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 LYLE CT, STATEN ISLAND, NY 10306-1142
(917) 763-8384
Mailing address
401 WILDWOOD CT, EAST STROUDSBURG, PA 18301-8580
(570) 856-0917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
806847
NY
Other
Enumeration date
12/13/2020
Last updated
01/14/2021
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