Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Charlie Hollingsworth, PA

Individual provider Medical Physician Assistant · NPI 1952427924

Mr. Charlie Hollingsworth, PA is a Medical Physician Assistant in Mt Vernon, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

107 W 4th St
Mt Vernon, NY 10550-4002
Phone: (914) 699-7200
Fax: (914) 699-0837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 000368 (NY)

Record details

NPI number1952427924
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESDecember 13, 2011

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