Individual
DR. CAROLYN ANN EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 NEW KARNER RD, ALBANY, NY 12205-3874
(518) 393-0391
(518) 372-3281
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
223132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000499348001
BSNENY
NY
05
—
02193497
—
NY
01
—
070220000179
FIDELIS
NY
01
—
10058374
CDPHP
NY
01
—
200311
SENIOR WHOLE HEALTH
NY
01
—
341475
MVP
NY
01
—
36V361
EMPIRE BC
NY
01
—
55550
GHI/HMO
NY
01
—
7966217
AETNA
NY
Enumeration date
07/18/2006
Last updated
05/13/2021
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