Doctor Name: | DR. SONDRA LYNNE CARTER |
NPI Number: | 1174829063 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 155482 |
Business Practice Address: | 80 Park Ave 5h New York, NY - 100162553 |
Business Phone Number: | 2126872476 |
Business Fax Number: | |
Mailing Address: | 80 Park Ave, 5h NEW YORK |
State: | NY |
Postal Code: | 100162553 |
Phone Number: | 2126872476 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2011 |
NPI Last Update Date: | 02/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 155482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |