Individual
DR. JEFFREY M CARREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6325 MAIN ST, SUITE 200, WILLIAMSVILLE, NY 14221-5822
(716) 630-1295
(716) 250-5999
Mailing address
6255 SHERIDAN DR, SUITE 304, WILLIAMSVILLE, NY 14221-4836
(716) 857-8666
(716) 630-1054
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
NYN002175
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
002175
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00588610
—
NY
01
—
034663
PTAN
NY
Enumeration date
03/22/2006
Last updated
01/13/2015
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