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1356867808
CHARLES VOLLMOELLER
WEST ISLIP, NY
NPI
1356867808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 021163)
Enumeration Date
2017-08-16
Last Update Date
2021-06-15
Business Address
CHARLES VOLLMOELLER PA
1111 MONTAUK HWY STE 3
WEST ISLIP, NY 11795-4910
Phone number: 631-669-1171
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Mailing Address
CHARLES VOLLMOELLER PA
800 MONTAUK HWY STE 18
SHIRLEY, NY 11967-2128
Phone number: 631-772-4646
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