Most Relevant Information
Provider Data
| NPI Number: | 1003442625 |
| Provider Name: | AUSTIN B CARPENTER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/15/2020 |
| Last Updated: | 04/02/2021 |
Provider Practice Location
100 WOODS RD
VALHALLA
NY
105951530
Practice Location Phone/Fax
| Phone: | 9144938795 |
| Fax: |
Provider Mailing Location
100 WOODS RD
VALHALLA
NY
105951530
Provider Mailing Phone/Fax
| Phone: | 2017882008 |
| Fax: |