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Contact Information

MIMOSE CHARLES
5101 AVENUE M
BROOKLYN, NY11234-3825
 Phone: 718-272-2946
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MIMOSE CHARLES · (Female)

NPI Number 1225731953
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2023
Last updated 03/22/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 502800-1
Hospital affiliation(s) Not Available
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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