Individual
DR. BRENT EVANS CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
357 GENESEE ST STE 1, ONEIDA, NY 13421-2658
(315) 363-8862
(315) 363-3326
Mailing address
357 GENESEE STREET, SUITE 1, ONEIDA, NY 13421
(315) 363-8862
(315) 363-3326
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
288249
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122476
—
NY
Enumeration date
04/04/2012
Last updated
07/21/2022
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