Charles Sealy

NPI #1013396662 in Malverne, New York

Provider Information

NPI Number: 1013396662
Entity Type: Individual
Name: Charles Sealy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: May 28, 2015
Last Updated: May 28, 2015

Practice Location

Address: 59 SCHOOL STREET
City: Malverne
State: New York
ZIP Code: 11565
Phone: (516) 599-2077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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