Wilson, Charnele

Wilson, Charnele is an sole proprietor health care provider with primary practice located at 1985 Marcus Ave , New Hyde Park NY 11042-2008. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Wilson, Charnele can be contacted via phone (718) 380-7600.

Contact Information

Primary practice address
1985 Marcus Ave New Hyde Park NY 11042-2008
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1194375253
LBN Legal business name Wilson, Charnele
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2019
Last updated Sep 19th, 2019 - about 5 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 1194375253 NPPES
New York MEDICAID 6004868721296852033

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