Individual
RUTH C CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9022
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9022
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
334224
MI
2085R0202X
Diagnostic Radiology Physician
Primary
334224
NY
2085R0202X
Diagnostic Radiology Physician
4301069612
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3393190
—
MI
Enumeration date
10/16/2006
Last updated
02/10/2025
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