Individual
MISS CHARMAINE LOIS PITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
420 MARGUERITE AVE, SOUTH FLORAL PARK, NY 11001-3533
(347) 452-4185
Mailing address
420 MARGUERITE AVE, SOUTH FLORAL PARK, NY 11001-3533
(347) 452-4185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
641029-1
NY
163WH0200X
Home Health Registered Nurse
641029
NY
163WI0500X
Infusion Therapy Registered Nurse
641029
NY
Other
Enumeration date
04/05/2011
Last updated
01/10/2024
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