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1598530735
KERLY CHARLES
AMITYVILLE, NY
NPI
1598530735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 405438)
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
Mr. KERLY CHARLES
400 SUNRISE HWY
AMITYVILLE, NY 11701-2508
Phone number: 631-264-4000
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Mailing Address
Mr. KERLY CHARLES
117 BROOKSIDE AVE
NORTH BABYLON, NY 11703-4922
Phone number: 631-363-4139
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