ALICIA RUSSELL CARTER, MD, PC
Medical Practice at 58 St, New York, NY

License number
New York 214129
Category
Medical Practice
Type
Pain Medicine
Owner
Name: DR. ALICIA RUSSELL CARTER M.D.
Title: PRSEIDENT
Phone: (212) 265-9803
Address
Address
330 W 58Th St SUITE 501, New York, NY 10019
National Provider ID: 1760661763
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALICIA RUSSELL CARTER, M.D., PC

New York, NY

Registration:
Feb 23, 2001
Addresses:
212 E 69 St, New York, NY 10021 (Physical)
12 E 69 St, New York, NY 10021 (Physical)
State ID:
2609274
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Alicia R Carter, 212 E 69 St, New York, NY 10021 (Physical)

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