Individual
MRS. CARLA CANAVIRE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
(631) 328-5560
(631) 328-5559
Mailing address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
(631) 328-5560
(631) 328-5559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2108831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01933499
—
NY
Enumeration date
11/08/2006
Last updated
01/29/2026
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