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NPI Code Detail

MEDICARE: EMILY CARTER MA

MEDICARE: EMILY CARTER MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1174453070
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY CARTER MA
Provider Business Mailing Address
First Line : 130 W KINGSBRIDGE RD
Second Line :
City : BRONX
State : NY
Zip : 10468-3904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 W KINGSBRIDGE RD
Second Line :
City : BRONX
State : NY
Zip : 10468-3904
Country : US
Telephone Number : 718-584-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “ EMILY CARTER MA” Practice Location

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