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Individual

CYNTHIA CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7905 MAIN RD, MATTITUCK, NY 11952
(631) 298-2030
(631) 298-8915
Mailing address
185 OLD COUNTRY RD, SUITE 2, RIVERHEAD, NY 11901-2121
(631) 298-4479
(631) 591-3047

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
199364
NY

Other

Enumeration date
04/26/2006
Last updated
05/06/2013
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