Individual
MR. CHARLIE HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
107 W 4TH ST, MT VERNON, NY 10550-4002
(914) 699-7200
(914) 699-0837
Mailing address
107 WEST 4TH STREET, MOUNT VERNON NEIGHBORHOOD HEALTH CENTER, MOUNT VERNON, NY 10550
(914) 699-7200
(914) 699-0837
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000368
N.Y.S. LICENSE NUMBER
NY
Enumeration date
03/22/2007
Last updated
12/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us