Organization
CARLYLE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWEN S. KOROVIN MD (OWNER)
(212) 879-6630
Entity
Organization
Contact information
Practice address
70 E 77TH ST, SUITE 1 B, NEW YORK, NY 10075-1811
(212) 734-4281
(212) 650-9736
Mailing address
70 E 77TH ST, SUITE 1 B, NEW YORK, NY 10075-1811
(212) 734-4281
(212) 650-9736
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
15000003624
NY
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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