Charles, Marlyne

Charles, Marlyne is an individual health care provider with primary practice located at 180 E Pulaski Rd , Huntington Station NY 11746-1915. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Charles, Marlyne can be contacted via phone (718) 918-3060.

Contact Information

Primary practice address
180 E Pulaski Rd Huntington Station NY 11746-1915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 001064 New York

Profile Details

NPI number 1023108834
LBN Legal business name Charles, Marlyne
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Mar 5th, 2021 - about 4 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 1023108834 NPPES
New York MEDICAID 02335720

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