Grace, Charlene

Grace, Charlene is an individual health care provider with primary practice located at 55 Maple Ave Ste 102 , Rockville Centre NY 11570-4267. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Grace, Charlene can be contacted via phone (516) 536-2221.

Contact Information

Primary practice address
55 Maple Ave Ste 102 Rockville Centre NY 11570-4267
Phone: (516) 536-2221
Fax: (516) 764-8747
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 317303 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2010028268 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York

Profile Details

NPI number 1174839526
LBN Legal business name Grace, Charlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Jul 22nd, 2022 - about 2 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