Individual
DR. ANDREA JNO CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 FIRST AVE, NY, NY 10029
(212) 423-6200
Mailing address
1738 UNION ST, APT 2B, BROOKLYN, NY 11213
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
256094
NY
Other
Enumeration date
01/10/2011
Last updated
01/17/2012
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