Individual
DR. CAROLYN JORY DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
345 E 84TH ST, APARTMENT 1, NEW YORK, NY 10028-4434
(212) 396-9808
(212) 305-4724
Mailing address
345 E 84TH ST, APARTMENT 1, NEW YORK, NY 10028-4434
(212) 396-9808
(212) 305-4724
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
147094
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00893132
—
NY
Enumeration date
07/06/2006
Last updated
07/08/2007
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