Individual
MR. CHARLES E COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2280 GRAND AVE, STE 310, BALDWIN, NY 11510-3110
(646) 265-9051
Mailing address
405 RXR PLZ, UNIONDALE, NY 11556-3811
(646) 265-9051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03165675
—
NY
01
—
A300145353
MEDICARE
NY
Enumeration date
12/05/2008
Last updated
05/10/2021
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