# ALICIA RUSSELL CARTER, MD, PC

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

## Provider details

- **NPI number:** 1760661763
- **Authorized official:** DR. ALICIA RUSSELL CARTER M.D. (PRSEIDENT)
- **Authorized official phone:** (212) 265-9803

## Contact information

- **Practice address:** 330 W 58TH ST, SUITE 501, NEW YORK, NY 10019-1827
- **Practice address phone:** (212) 265-9803
- **Mailing address:** 330 W 58TH ST, SUITE 501, NEW YORK, NY 10019-1827
- **Mailing address phone:** (212) 265-9803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 214129 | NY | Yes |

## Other

- **Enumeration date:** 10/26/2007
- **Last updated:** 10/26/2007