NPI 1508391954
Ibsen Charles
Practice location
- Address
- 196 Greyrock Pl, Stamford, CT 06901-2006
- Phone
- (917) 406-4911
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1508391954
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Apr 2017
- Record last updated
- 24 Apr 2017
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.