Organization
DR. GARY L. CARR, DC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L CARR DC (OWNER)
(315) 386-8100
Entity
Organization
Contact information
Practice address
49 JAMESON RD, CANTON, NY 13617-3274
(315) 386-8100
Mailing address
49 JAMESON RD, CANTON, NY 13617-3274
(315) 386-8100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011006-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA 0772
MEDICARE
—
Enumeration date
10/02/2008
Last updated
10/30/2008
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