Charles Soper

NPI #1457613069 in Mastic, New York

Provider Information

NPI Number
1457613069
Entity Type
Individual
Name
Charles Soper
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Jun 10, 2012
Last Updated
Jul 21, 2022

Practice Location

Address
113 SHINNECOCK AVE
City
Mastic
ZIP Code
11950-4241
Phone
(631) 871-2523

Specialties & Taxonomy Codes

Specialty
Specialist

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