CHARLES SUMMERS

MINEOLA, NY
NPI1023282167
Professional NameCHARLES SUMMERS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  007342-1)
Enumeration Date2008-04-19
Last Update Date2008-04-19
Business Address
-- CHARLES SUMMERS charles summers
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-8312
Mailing Address
-- CHARLES SUMMERS charles summers
700 HICKSVILLE RD SUITE 204
BETHPAGE, NY 11714-3471
Phone number: 516-576-6106
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