Individual
CAROLINA VERSAILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST RM N3W62, BALTIMORE, MD 21201-1544
(410) 328-5780
Mailing address
281 1ST AVE, NEW YORK, NY 10003-2925
(212) 420-2000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
07/02/2024
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