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Individual

DR. NEVILLE WAYNE CARMICAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
305 EAST 55TH ST, SUITE 105, NEW YORK, NY 10022-4148
(212) 755-2575
(212) 752-2865
Mailing address
305 EAST 55TH ST, SUITE 105, NEW YORK, NY 10022-4148
(212) 755-2575
(212) 752-2865

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
100639
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00172587
NY
Enumeration date
11/30/2006
Last updated
07/19/2010
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