Individual
DR. MARC-ANTHONY LOUIS CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
334 W MERRICK RD, FREEPORT, NY 11520
(516) 608-6777
Mailing address
334 W MERRICK RD, FREEPORT, NY 11520-3249
(516) 608-6777
(516) 608-8918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
174994
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01159631
—
NY
Enumeration date
01/18/2007
Last updated
05/16/2018
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