Healthcare Provider Details

I. General information

NPI: 1588127674
Provider Name (Legal Business Name): EDWARD THOMAS CAREY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2019
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE APT 19B
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

429 E 52ND ST APT 19B
NEW YORK NY
10022-6434
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-6587
  • Fax:
Mailing address:
  • Phone: 914-462-8780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number314977
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: