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Contact Information

CATHY ANNE M CHARLES, MD
327 BEACH 19TH ST
FAR ROCKAWAY, NY11691-4423
 Phone: 718-869-7108
 Fax: 631-269-1092
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CATHY ANNE M CHARLES · (Female)

NPI Number 1790120822
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2013
Last updated 01/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2016-01477
  • NY License # 292750
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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