An, Charlene
An, Charlene is an individual health care provider with primary practice located at 445 Lenox Rd Box 1262, Brooklyn NY 11203-2017. She recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as her primary health care specialty. An, Charlene can be contacted via phone (718) 245-4790.Contact Information
Primary practice address
445 Lenox Rd Box 1262
Brooklyn NY 11203-2017
Phone: (718) 245-4790
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Personal Emergency Response Attendant | 146D00000X | 228709-1 | New York |
Profile Details
| NPI number | 1053303933 |
|---|---|
| LBN Legal business name | An, Charlene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Dec 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053303933 | NPPES |
| New York | MEDICAID | 02420831 |
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