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Individual

DR. CARLTON C. MCGREGOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-8175
Mailing address
630 W 168TH ST # 4, VC 12TH FLOOR, SUITE 208, NEW YORK, NY 10032-3725

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
149897
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00970530
NY
Enumeration date
11/14/2006
Last updated
11/11/2014
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