Individual
DR. GIANCARLO DE CAROLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W MAIN ST, BABYLON, NY 11702
(631) 587-7733
Mailing address
500 W MAIN ST, BABYLON, NY 11702-3027
(631) 587-7733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
294633
NY
Other
Enumeration date
03/25/2015
Last updated
08/09/2018
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