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1174599682
MARISE ST. CHARLES
MOUNT VERNON, NY
NPI
1174599682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 257178)
Enumeration Date
2006-02-24
Last Update Date
2012-03-28
Business Address
-- MARISE ST. CHARLES D.O.
100 STEVENS AVE 7TH FLOOR
MOUNT VERNON, NY 10550-2600
Phone number: 914-668-6366
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Mailing Address
-- MARISE ST. CHARLES D.O.
30 CLINTON PL APARTMENT 5E
NEW ROCHELLE, NY 10801-6316
Phone number: 770-380-7203
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