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NPI Code Detail

MEDICARE: SHERLY PIERRE CHARLES

MEDICARE: SHERLY PIERRE 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
1164W00000XLicensed Practical Nurse295414NY

General Provider Information

NPI Number : 1326690603
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERLY PIERRE CHARLES
Provider Business Mailing Address
First Line : 14202 20TH AVE FL 3
Second Line :
City : FLUSHING
State : NY
Zip : 11351-3000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10154 117TH ST
Second Line :
City : SOUTH RICHMOND HILL
State : NY
Zip : 11419-1906
Country : US
Telephone Number : 718-846-4007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2019
Last Update Date : 07/16/2019

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Directions to “ SHERLY PIERRE CHARLES ” Practice Location

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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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