Individual
MRS. SAMINE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
1866 FARGO ST, NORTH BALDWIN, NY 11510-2405
(516) 632-5668
Mailing address
1866 FARGO ST, NORTH BALDWIN, NY 11510-2405
(516) 632-5668
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001431
NY
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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