Individual
DR. CHARLES PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 5TH AVE, BAY SHORE, NY 11706-7389
(631) 786-3076
(631) 665-7863
Mailing address
23 5TH AVE, BAY SHORE, NY 11706-7389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007601
NY
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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