Holder, Charleen Therese

Holder, Charleen Therese is an individual health care provider with primary practice located at 11520 217Th St Cambria Heights, Cambria Heights NY 11411-1116. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holder, Charleen Therese can be contacted via phone (347) 420-4109.

Contact Information

Primary practice address
11520 217Th St Cambria Heights Cambria Heights NY 11411-1116
Phone: (347) 420-4109
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F351140 New York

Profile Details

NPI number 1528310505
LBN Legal business name Holder, Charleen Therese
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2012
Last updated Sep 23rd, 2025 - about last year

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 1528310505 NPPES
New York Other 664418 RN LICENSE

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