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NPI Code Detail

MEDICARE: DR. STEPHEN S CARRYL M.D.;P.C.

MEDICARE:  DR. STEPHEN S CARRYL  M.D.;P.C.
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
1208600000XSurgery Physician191367NY

General Provider Information

NPI Number : 1336192228
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN S CARRYL M.D.;P.C.
Provider Business Mailing Address
First Line : PO BOX 258
Second Line :
City : EAST NORWICH
State : NY
Zip : 11732-0258
Country : US
Telephone Number : 718-783-0934
Fax Number : 718-857-0682
Provider Business Practice Location Address
First Line : 1 HANSON PL
Second Line : SUITE 710
City : BROOKLYN
State : NY
Zip : 11243-2900
Country : US
Telephone Number : 718-783-0934
Fax Number : 718-857-0682
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 09/18/2013

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Directions to “ DR. STEPHEN S CARRYL M.D.;P.C.” Practice Location

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