Individual provider · Type 1 NPI
Simone Charles, NURSE PRACTITIONER
Adult Health Nurse Practitioner · New York, NY
NPI number
1861285801
Active
Practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
PO Box 843
Point Lookout, NY 11569-0843
Other practice locations
- 237 Park Ave Ste 125, New York, NY 10017-3140 · (646) 358-1223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 310232 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1861285801
Simone Charles, NURSE PRACTITIONER's National Provider Identifier is 1861285801, issued on May 23, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jun 11, 2026.