Katia Charles
Individual provider Active NPI Licensed Practical Nurse · Central Valley, NY
NPI 1861972010 · NPPES record last updated Aug 17, 2018
Key facts
- NPI
- 1861972010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 297954 (NY)
- Practice address
- 19 Falkirk Ave
Central Valley, NY 10917-3627 - Phone
- (718) 828-2666
- NPI assigned
- Aug 17, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297954 | NY | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 297954 | NY | Yes |
Addresses
Primary practice location
19 Falkirk Ave
Central Valley, NY 10917-3627
Mailing address
19 Falkirk Ave
Central Valley, NY 10917-3627
Phone (718) 828-2666
Other providers in Central Valley, NY
- Colleen Blake
- Melinda Lea Bobnick
- Robert Alan Bochner
- Jane L Bruno
- Thomas Patrick Carney
- Doreen Circelli
- Henry S Cohen
- Maria Covillion
- Kristen Derosso
- Julie Desrats
All providers in Central Valley, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.