Individual
DR. DOREEN LEIGH CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
33 WEST 42ND STREET, NEW YORK, NY 10036
(212) 938-5888
Mailing address
61 VAN SCOY RD, POUGHQUAG, NY 12570-5234
(845) 227-2394
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT 005794-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U67544
MEDICARE UPIN
—
Enumeration date
01/08/2007
Last updated
05/14/2015
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