Individual
DR. KYM M. CARPENTIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
16 STATION RD, SUITE 5-6, BELLPORT, NY 11713-2449
(631) 286-3995
(631) 286-4573
Mailing address
16 STATION RD, SUITE 5-6, BELLPORT, NY 11713-2449
(631) 286-3995
(631) 286-4573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
223141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649229055
NPI NUMBER
NY
01
—
1992738538
NPI GROUP NUMBER
NY
Enumeration date
05/10/2006
Last updated
10/15/2012
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