Individual
HARRIET I CARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5 BICYCLE CT, SELDEN, NY 11784-3724
(631) 696-1823
Mailing address
5 BICYCLE CT, SELDEN, NY 11784-3724
(631) 696-1823
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
444498-1
NY
367500000X
Certified Registered Nurse Anesthetist
444498-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
444498-1
LICENSE
NY
Enumeration date
08/14/2006
Last updated
04/11/2014
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