Healthcare Provider Details

I. General information

NPI: 1659280675
Provider Name (Legal Business Name): BAYLEIGH CARVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 E 63RD ST
NEW YORK NY
10065-7901
US

IV. Provider business mailing address

460 E 63RD ST
NEW YORK NY
10065-7901
US

V. Phone/Fax

Practice location:
  • Phone: 478-718-8692
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number069359-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: