Individual
CARTER LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
834 FLATBUSH AVE, BROOKLYN, NY 11226-3102
(718) 693-9811
Mailing address
610 W 42ND ST, 14B, NEW YORK, NY 10036-1956
(303) 725-7845
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
059155
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04838822
—
NY
01
—
059155
DENTAL LICENSE
NY
Enumeration date
06/11/2015
Last updated
06/16/2018
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