Individual
DR. CARL LEWIS HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST PH 11-1120, NEW YORK, NY 10032-3720
(212) 305-5976
Mailing address
622 W 168TH ST PH 11-1120, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2021-01325
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
314727-01
NY
Other
Enumeration date
04/14/2016
Last updated
03/10/2023
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