Individual
CAROLYN NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1305 YORK AVE FL 4, NEW YORK, NY 10021
(646) 962-4000
Mailing address
1305 YORK AVE FL 4, NEW YORK, NY 10021-5663
(646) 962-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT201701
PA
207RG0100X
Gastroenterology Physician
Primary
293412
NY
207RG0100X
Gastroenterology Physician
MT201701
PA
Other
Enumeration date
05/21/2012
Last updated
07/30/2018
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