Charles Soper
Charles Soper is a Specialist in Mastic, New York. Licensed in New York. Registered with an NPI since 2012.
- Licensed in
- NY
- In the registry since
- 2012
Practice location Address checks out
113 Shinnecock AveMastic, NY 11950-4241
Phone: (631) 871-2523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X (NY) |
|---|
Record details
| NPI number | 1457613069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 10, 2012 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 113 Shinnecock Ave, Mastic, NY 11950-4241 |
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