National Provider Identifier
Charlene Brew
Charlene Brew is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 257-2188.
Profile Overview
- NPI
- 1003524646
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 14, 2022
- Last Updated
- January 24, 2025
Practice Location
- 10 Graham RD W
- Ithaca, NY 14850-1055
Phone: (607) 257-2188
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1003524646
- Entity Type
- Individual
- Last Name
- Brew
- First Name
- Charlene
- Mailing Street Address
- 10 Graham RD W
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1055
- Mailing Country
- US
- Practice Street Address
- 10 Graham RD W
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1055
- Practice Country
- US
- Practice Phone
- (607) 257-2188
- Enumeration Date
- November 14, 2022
- Last Updated
- January 24, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 24, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)