Individual
AMRITHA CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 SHAW DR, MERRICK, NY 11566-1719
(917) 459-0383
Mailing address
2025 SHAW DR, MERRICK, NY 11566-1719
(917) 459-0383
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/19/2020
Last updated
03/16/2023
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