Individual
CARLA Y WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
488 FREEDOM PLAINS RD, SUITE 120, POUGHKEEPSIE, NY 12603-2689
(845) 452-6233
(845) 452-6516
Mailing address
488 FREEDOM PLAINS RD, SUITE 120, POUGHKEEPSIE, NY 12603-2689
(845) 452-6233
(845) 452-6516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
227365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001947397 0006
—
PA
05
—
2380454
—
NY
Enumeration date
08/18/2005
Last updated
02/02/2016
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