Individual
PAWEL CHARUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(888) 795-4837
Mailing address
204 HUNTINGTON ST APT 2J, BROOKLYN, NY 11231-3968
(646) 643-7696
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308925-1
NY
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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