Healthcare Provider Details

I. General information

NPI: 1477817070
Provider Name (Legal Business Name): YEHOSHEBA CARTER M.S.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2012
Last Update Date: 06/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 MADISON AVE
NEW YORK NY
10017-6307
US

IV. Provider business mailing address

5 LAFAYETTE ST
WHITE PLAINS NY
10606-2310
US

V. Phone/Fax

Practice location:
  • Phone: 212-751-9147
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: