Individual
CARL D ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
69 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 822-8484
Mailing address
69 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 822-8484
(518) 822-8484
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
143253
NY
207RX0202X
Medical Oncology Physician
Primary
143253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00861087
—
NY
01
—
P00732601
RAILROAD MEDICARE
NY
01
—
P00779046
RAILROAD MEDICARE
NY
Enumeration date
07/15/2005
Last updated
05/06/2021
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