NPI 1043795297

Charlotte T Close

Practitioner Genetic Counselor (M.S.) New York, NY

Practice location

Address: 3959 Broadway, New York, NY 10032-1559
Phone: (212) 305-8470
Fax: (212) 923-2090
Mailing address: 5 Revere Dr STE 102, Northbrook, IL 60062-1567

Registered specialties (2)

Genetic Counselor (M.S.) Primary

Other Service Providers Taxonomy 170300000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1043795297
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2018
Record last updated: 2 Dec 2022

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.