Organization
JAMES E. CARLSON D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E CARLSON D.O. (PHYSICIAN/OWNER)
(631) 928-9355
Entity
Organization
Contact information
Practice address
815 HALLOCK AVE, SUITE B, PORT JEFFERSON STATION, NY 11776-1220
(631) 928-9355
Mailing address
815 HALLOCK AVE, SUITE B, PORT JEFFERSON STATION, NY 11776-1220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
204062
NY
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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