person
Charles Wyatt
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1346999653

Charles Wyatt is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Charles Wyatt practices in Stony Brook, NY. The NPI Number for Charles Wyatt is 1346999653 and holds a License No. (New York).

The current practice location address for Charles Wyatt is 101 Nicolls Rd Rm 50, Stony Brook, NY and can be reached out via phone at 631-444-3880.

Location: 101 Nicolls Rd Rm 50, Stony Brook, NY, 11794-0001
person
Provider Profile Details
NPI Number
1346999653
Provider Name
Charles Wyatt
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Rd Rm 50, Stony Brook, NY, 11794-0001
Phone Number
631-444-3880
Fax Number
Provider Enumeration Date
03/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd Rm 50
City
State
Zip
11794-0001
Phone Number
631-444-3880
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd Rm 50
City
State
Zip
11794-0001
Phone Number
631-444-3880
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
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