Individual
MELITA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 HENRY ST, BROOKLYN, NY 11201-6001
(718) 780-2777
(718) 780-4703
Mailing address
350 HENRY ST, BROOKLYN, NY 11201-6001
(718) 780-2777
(718) 780-4703
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
203082
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02173173
—
NY
Enumeration date
03/31/2006
Last updated
05/14/2008
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