Charles, Nicole Natasha

Charles, Nicole Natasha is an sole proprietor health care provider with primary practice located at 90 Air Park Dr , Ronkonkoma NY 11779-7360. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Charles, Nicole Natasha can be contacted via phone (631) 580-4015.

Contact Information

Primary practice address
90 Air Park Dr Ronkonkoma NY 11779-7360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 016918-1 New York

Profile Details

NPI number 1578601928
LBN Legal business name Charles, Nicole Natasha
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers