Individual
CAROLIN T PENROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1110 SOUTH AVE, SUITE 400, STATEN ISLAND, NY 10314-3411
(917) 830-1415
(917) 830-1418
Mailing address
1110 SOUTH AVE, SUITE 400, STATEN ISLAND, NY 10314-3411
(917) 830-1415
(917) 830-1418
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
245597
NY
Other
Enumeration date
06/23/2008
Last updated
06/10/2016
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