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: |