Charles Soper is a Specialist based in Mastic, NY. Charles Soper practices in Mastic, NY. The NPI Number for Charles Soper is 1457613069 and holds a License No. (New York).
The current practice location address for Charles Soper is 113 Shinnecock Ave, Mastic, NY and can be reached out via phone at 631-871-2523.
Location: 113 Shinnecock Ave, Mastic, NY, 11950-4241
Provider Profile Details
NPI Number
1457613069
Provider Name
Charles Soper
Credential
Provider Entity Type
Individual
Gender
Male
Address
113 Shinnecock Ave, Mastic, NY, 11950-4241
Phone Number
631-871-2523
Fax Number
Provider Enumeration Date
06/10/2012
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
113 Shinnecock Ave
City
State
Zip
11950-4241
Phone Number
631-871-2523
Fax Number
Provider Business Mailing Address Details
Address
113 Shinnecock Ave
City
State
Zip
11950-4241
Phone Number
631-871-2523
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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