Individual
DR. GARY R CARPENTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 GREENE AVE, LLB, BROOKLYN, NY 11238-6406
(718) 789-5900
Mailing address
535 CLINTON AVE BSMT, BROOKLYN, NY 11238-2201
(718) 789-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
276449
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2012
Last updated
01/30/2019
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