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NPI Code Detail

MEDICARE: CARMELLA CHARLES

MEDICARE: CARMELLA CHARLES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseN09945NY

General Provider Information

NPI Number : 1083556930
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMELLA CHARLES
Provider Business Mailing Address
First Line : 3213 NEWKIRK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-7916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2811 QUEENS PLZ N
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-4172
Country : US
Telephone Number : 718-391-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ CARMELLA CHARLES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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