Individual
CHRISTINA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-9918
(212) 342-1065
Mailing address
161 FORT WASHINGTON AVE FL 11, NEW YORK, NY 10032-3729
(212) 305-9918
(212) 342-1065
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
292955
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05183468
—
NY
Enumeration date
04/10/2011
Last updated
03/07/2023
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