Adams, Charisse

Adams, Charisse is an individual health care provider with primary practice located at 9777 Queens Blvd , Rego Park NY 11374-3335. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Adams, Charisse can be contacted via phone (718) 760-0090.

Contact Information

Primary practice address
9777 Queens Blvd Rego Park NY 11374-3335
Phone: (718) 760-0090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 108050-01 New York
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1720592504
LBN Legal business name Adams, Charisse
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2017
Last updated Jun 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720592504 NPPES
New York Other 108050-01 LMSW

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