Mary Lavis Carlson

NPI 1679777692 - Specialist - 174400000X

NPI Details
NPI 1679777692
Gender Female
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
460 W 34TH ST
11TH FLOOR
NEW YORK NY, 10001-2320, US
Phone (212) 273-6100
Fax
Business Location
144 E 84TH ST
12H
NEW YORK NY, 10028-2004, US
Phone (212) 879-0788
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Mary Lavis Carlson NPI is 1679777692, taxonomy code is 174400000X Mary Lavis Carlson physically located at 460 W 34th St, New York NY, 10001-2320. NPI Number Mary Lavis Carlson has the Individual type.

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1679777692 NPI number is provided on an as is basis without warranty of any kind. 1679777692 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Lavis Carlson are for informational purposes only.