Individual
CAROLYN BROCKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 10TH AVE, 10TH FLOOR - INN RM G64, NEW YORK, NY 10019-1147
(212) 636-3236
Mailing address
PO BOX 95000-2392, PHILADELPHIA, PA 19195
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2035091
NY
2084V0102X
Vascular Neurology Physician
Primary
203509
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02246573
—
NY
Enumeration date
11/07/2005
Last updated
11/03/2021
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