Charles, Kimberly Nicole

Charles, Kimberly Nicole is an individual health care provider with primary practice located at 1999 Marcus Ave Suite 116, Lake Success NY 11042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Charles, Kimberly Nicole can be contacted via phone (516) 403-1550.

Contact Information

Primary practice address
1999 Marcus Ave Suite 116 Lake Success NY 11042
Phone: (516) 403-1550
Fax: (516) 403-1551
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 337723 New York

Profile Details

NPI number 1982943254
LBN Legal business name Charles, Kimberly Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2013
Last updated Apr 5th, 2021 - 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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