Individual
MS. CAROLYN GWYN DICKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
121 W 11TH ST, TPF, NEW YORK, NY 10011-8305
(212) 219-2677
(212) 431-2594
Mailing address
121 W 11TH ST, TPF, NEW YORK, NY 10011-8305
(212) 219-2677
(212) 431-2594
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F301485
NY
Other
Enumeration date
08/24/2006
Last updated
05/13/2011
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