KERLY CHARLES

AMITYVILLE, NY
NPI1598530735
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY  405438)
Enumeration Date2023-11-17
Last Update Date2023-11-17
Business Address
MR. KERLY CHARLES
400 SUNRISE HWY
AMITYVILLE, NY 11701-2508
Phone number: 631-264-4000
Mailing Address
MR. KERLY CHARLES
117 BROOKSIDE AVE
NORTH BABYLON, NY 11703-4922
Phone number: 631-363-4139
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