Individual
MR. CHARLES WILLIAM WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MITCHELL ST APT 1, A1 CHUCKS TAXI, ENDICOTT, NY 13760
(607) 349-1874
Mailing address
PO BOX 367 200 NORTH ST APT 4, A1 CHUCKS TAXI, ENDICOTT, NY 13761
(607) 349-1874
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
984464539
NY
Other
Enumeration date
05/28/2013
Last updated
07/21/2022
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