Individual
DR. CAROLYN ELIZABETH MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26 RESEARCH WAY, EAST SETAUKET, NY 11733-3526
(631) 444-0580
Mailing address
26 RESEARCH WAY, EAST SETAUKET, NY 11733-3526
(631) 444-0580
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
251503
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2008
Last updated
08/31/2013
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