| Dianne Charles | |
|
663 E 220th St Bronx NY 10467-5317 | |
| (317) 500-9332 | |
| Not Available |
| Full Name | Dianne Charles |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 663 E 220th St, Bronx, New York |
| Authorized Official Name and Position | Dianne Charles (LPN) |
| Authorized Official Contact | 9175009332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dianne Charles 663 East 220 Street Bronx NY 10467 Ph: () - | Dianne Charles 663 E 220th St Bronx NY 10467-5317 Ph: (317) 500-9332 |
| NPI Number | 1417363094 |
|---|---|
| Provider Enumeration Date | 07/03/2014 |
| Last Update Date | 07/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417363094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 267754 (New York) | Primary |
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