Individual
DR. CARLOS C MARRERO PRATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
994 W JERICHO TPKE STE 104, SMITHTOWN, NY 11787-3211
(631) 543-1440
Mailing address
994 W JERICHO TPKE STE 104, SMITHTOWN, NY 11787-3211
(631) 543-1440
(866) 229-5063
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
325866
NY
208100000X
Physical Medicine & Rehabilitation Physician
325866
NY
208VP0014X
Interventional Pain Medicine Physician
325866
NY
Other
Enumeration date
06/22/2011
Last updated
03/15/2024
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