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NPI Code Detail

MEDICARE: BONY CARTER

MEDICARE:   BONY  CARTER
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
1163W00000XRegistered Nurse411754NY

General Provider Information

NPI Number : 1790173227
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONY CARTER
Provider Business Mailing Address
First Line : 1192 E 56TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-2412
Country : US
Telephone Number : 917-371-4548
Fax Number :
Provider Business Practice Location Address
First Line : 1192 E 56TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-2412
Country : US
Telephone Number : 917-371-4548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2015
Last Update Date : 01/06/2015

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Directions to “ BONY CARTER ” Practice Location

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