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Individual

DR. CHARLES V. COREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6705
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6705

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
145676-1
NY
2086S0120X
Pediatric Surgery Physician
145676
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00973744
NY
Enumeration date
06/03/2006
Last updated
12/11/2015
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