Individual
CHARLENE UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152-53-10TH AVE, WHITESTONE, NY 11357
(917) 972-2399
Mailing address
15253 10TH AVE, WHITESTONE, NY 11357-1252
(917) 972-2399
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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