Individual
CATHY-ANNE MARIA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7108
(631) 269-1092
Mailing address
114 CHURCH ST, KINGS PARK, NY 11754-1704
(917) 407-3367
(631) 269-1092
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2016-01477
NC
207Q00000X
Family Medicine Physician
Primary
292750
NY
Other
Enumeration date
05/02/2013
Last updated
01/12/2023
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