Provider Demographics
NPI:1982328860
Name:CHARLES-CUFFY, GAYLENE PATRICIA (MSED)
Entity Type:Individual
Prefix:
First Name:GAYLENE
Middle Name:PATRICIA
Last Name:CHARLES-CUFFY
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1497 REMSEN AVE
Mailing Address - Street 2:2FL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4907
Mailing Address - Country:US
Mailing Address - Phone:347-314-4066
Mailing Address - Fax:
Practice Address - Street 1:1497 REMSEN AVE
Practice Address - Street 2:2FL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4907
Practice Address - Country:US
Practice Address - Phone:347-314-4066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist