# CARL MCDOUGALL, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427268127
- **Authorized official:** MARIE FARRELL RN CCS-P (DIRECTOR CODING)
- **Authorized official phone:** (845) 634-6500

## Contact information

- **Practice address:** 17 SQUADRON BLVD, SUITE 400, NEW CITY, NY 10956-5214
- **Practice address phone:** (845) 634-6500
- **Practice address fax:** (845) 634-9424
- **Mailing address:** 38 E 57TH ST FL 7, NEW YORK, NY 10022-8515
- **Mailing address phone:** (845) 634-6500
- **Mailing address fax:** (845) 634-9424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 156743 | NY | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020