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Individual

CAROLYN J CLARICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
MOUNT KISCO MEDICAL GROUP PC, 90 SOUTH BEDFORD ROAD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1516
Mailing address
MOUNT KISCO MEDICAL GROUP PC, 90 SOUTH BEDFORD RD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1516

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
218697
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02109653
NY
01
0667910001
DME
NY
01
110213587
MEDICARE RAILROAD
NY
Enumeration date
05/26/2006
Last updated
11/19/2009
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