Charlene Brew
Charlene Brew is a Student in an Organized Health Care Education/Training Program in Ithaca, New York. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
10 Graham Rd WIthaca, NY 14850-1055
Phone: (607) 257-2188
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1003524646 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 14, 2022 |
| Last updated in NPPES | January 24, 2025 |
| Certification date | January 24, 2025 |
| Mailing address | 10 Graham Rd W, Ithaca, NY 14850-1055 |
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