Individual
DR. CONNOR LIAM CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 W 115TH ST, NEW YORK, NY 10026-3138
(212) 426-0088
Mailing address
145 E 27TH ST APT 12K, NEW YORK, NY 10016-9038
(717) 644-1376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
310006
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2018
Last updated
07/12/2021
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