Marie Charlot, R.N., M.S.N.

Individual provider Active NPI General Practice Registered Nurse · Saint James, NY

NPI 1013455161 · NPPES record last updated Feb 9, 2017

Key facts

NPI
1013455161
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
598448-1 (NY)
Practice address
21 Woodcrest Dr
Saint James, NY 11780-3806
Phone
(631) 682-8624
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
598448-1NYMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 598448-1 NY Yes

Addresses

Primary practice location

21 Woodcrest Dr
Saint James, NY 11780-3806

Mailing address

21 Woodcrest Dr
Saint James, NY 11780-3806
Phone (631) 682-8624

Other providers in Saint James, NY

All providers in Saint James, NY · General Practice Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.