Individual
DR. CAROLYN MAE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
577 GRAND ST, NEW YORK, NY 10002-4383
(212) 254-7300
Mailing address
6600 BOULEVARD EAST, APT 5F, WEST NEW YORK, NJ 07093-4232
(917) 664-0403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039992
NY
Other
Enumeration date
02/02/2011
Last updated
03/21/2016
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