Individual
CAROLINE EDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2581
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2581
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
303043
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
12/15/2023
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