CHARLES WELLS

MASSAPEQUA, NY
NPI1871921445
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F306567-1)
Enumeration Date2013-10-17
Last Update Date2023-03-09
Business Address
CHARLES WELLS
200 N BOSTON AVE
MASSAPEQUA, NY 11758-1543
Phone number: 631-848-4054
Mailing Address
CHARLES WELLS
200 N BOSTON AVE
MASSAPEQUA, NY 11758-1543
Phone number: 631-848-4054
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