Individual
DR. JOHN MANNING CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 OLD COUNTRY RD STE 135, MINEOLA, NY 11501-4237
(516) 663-2169
(516) 663-2179
Mailing address
200 OLD COUNTRY RD STE 135, MINEOLA, NY 11501-4237
(516) 663-2169
(516) 663-2179
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
291345
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023865
KAISER COMMERCIAL NUMBER
CO
05
—
80284272
—
CO
Enumeration date
06/19/2008
Last updated
03/02/2021
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