Most Relevant Information
Provider Data
| NPI Number: | 1003524646 |
| Provider Name: | CHARLENE LESLIE BREW |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/14/2022 |
| Last Updated: | 11/14/2022 |
Provider Practice Location
23 MULFORD PL
HEMPSTEAD
NY
115502127
Practice Location Phone/Fax
| Phone: | 5169653956 |
| Fax: |
Provider Mailing Location
23 MULFORD PL
HEMPSTEAD
NY
115502127
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |