Individual
MR. KARL GUY ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1979 MARCUS AVE, SUITE 204, NEW HYDE PARK, NY 11042-1002
(516) 327-4681
Mailing address
443 FORBELL ST, BROOKLYN, NY 11208-4711
(718) 647-1443
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
006233-1
NY
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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