Individual
CARLEE MARIE LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 970-4148
Mailing address
634 WOODLAND AVE, BRIELLE, NJ 08730-1825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
10/24/2025
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