Organization
WEST CARVER MEDICAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE MEYER (OFFICE MANAGER)
(631) 421-0020
Entity
Organization
Contact information
Practice address
200 WEST CARVER STREET, WEST CARVER MEDICAL ASSOC PC, HUNTINGTON, NY 11743
(631) 421-0020
(631) 421-5139
Mailing address
200 WEST CARVER STREET, WEST CARVER MEDICAL ASSOC PC, HUNTINGTON, NY 11743
(631) 421-0020
(631) 421-5139
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00891667
—
NY
01
—
C13347
RAILROAD MEDICARE
—
01
—
WE0W915710
BCBS
—
Enumeration date
08/30/2006
Last updated
03/24/2008
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