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Charlene Del Rosario

Contractor in Mineola, NY. Individual provider (NPI-1).

NPI number1619001237
StatusActive
Last updated in NPPESFeb 4, 2015

Details

NPI
1619001237
Entity type
Individual (NPI-1)
Name
Charlene Del Rosario
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 15, 2007
Last updated
Feb 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor0288341NYYes

Practice location

310 1st St
Mineola, NY 11501-2319

Phone 646-321-6492

Mailing address

310 1st St
Suite 201
Mineola, NY 11501-2319

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