Individual
EDWARD CARBONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 LENOX RD, BROOKLYN, NY 11203-2017
(718) 270-7302
Mailing address
445 LENOX RD, BOX 1262, BROOKLYN, NY 11203-2017
(718) 270-7302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225949-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02353831
—
NY
Enumeration date
09/09/2005
Last updated
11/06/2012
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