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General NPI Number Information
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NPI Number | 1548173404
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Entity Type | Organization
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Legal Business Name | JESSE N CHARNOFF MD P.C.
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 333 EARLE OVINGTON BLVD STE 106
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City | UNIONDALE
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State | NY
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Zip | 11553-3645
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Country | US
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Telephone | 212-224-7950
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 626
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City | GREAT RIVER
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State | NY
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Zip | 11739-0626
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Country | US
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Telephone | 631-778-7769
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESSE NATHANIEL CHARNOFF
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Credential | MD
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Telephone | 516-567-7254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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