Individual
MR. DOUGLAS PHILLIP CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-7515
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-7515
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000916
NY
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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