Individual
LUKE THOMAS CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX-LEBANON HOSPITAL CENTER, BRONX, NY 10457-7606
(718) 960-1417
Mailing address
460 W 149TH ST, APT. 53, NEW YORK, NY 10031-3612
(352) 406-2234
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
301752
NY
Other
Enumeration date
06/19/2016
Last updated
09/27/2024
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