DR. Charles Payne

NPI #1710125968 in Bay Shore, New York

Provider Information

NPI Number: 1710125968
Entity Type: Individual
Name: DR. Charles Payne
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Enumeration Date: Jan 27, 2009
Last Updated: Jan 27, 2009

Practice Location

Address: 23 5TH AVE
City: Bay Shore
State: New York
ZIP Code: 11706-7389
Phone: (631) 786-3076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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