Individual
MRS. CAROL ANGELA DUPOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIANS ASSISTANT
Contact information
Practice address
516 WEST 126TH STREET, NEW YORK, NY 10027
(212) 662-1826
Mailing address
516 WEST 126TH STREET, NEW YORK, NY 10027
(212) 662-1826
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005095-1
NY
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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