NPI 1013396662

Charles Sealy

Practitioner Driver Malverne, NY

Practice location

Address: 59 School Street, Malverne, NY 11565
Phone: (516) 599-2077

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1013396662
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 May 2015
Record last updated: 28 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.