Most Relevant Information
Provider Data
| NPI Number: | 1003572686 |
| Provider Name: | CHARISMA RAY |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/09/2021 |
| Last Updated: | 11/09/2021 |
Provider Practice Location
529 COURTLANDT AVE
BRONX
NY
104515007
Practice Location Phone/Fax
| Phone: | 7189937700 |
| Fax: |
Provider Mailing Location
529 COURTLANDT AVE
BRONX
NY
104515007
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |