Individual
MR. CHARLES SLOWEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
9 INGELORE CT, SMITHTOWN, NY 11787-1705
(215) 764-2444
Mailing address
9 INGELORE CT, SMITHTOWN, NY 11787-1705
(215) 764-2444
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007777
NY
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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