Individual
CHARMAINE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 GORMLEY AVE, ROOSEVELT, NY 11575-2448
(516) 851-5143
Mailing address
138 GORMLEY AVE, ROOSEVELT, NY 11575-2448
(516) 851-5143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
652158
NY
363LF0000X
Family Nurse Practitioner
Primary
34620233
NY
Other
Enumeration date
05/16/2012
Last updated
12/29/2022
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