Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 226865 | NY |
NPI | 1043258726 |
---|---|
Provider Name | Cascya Charlot |
First Address | Brooklyn, NY 11238-4954 |
Second Address | Brooklyn, NY 11238-5025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 24/03/2021 |