Most Relevant Information
Provider Data
| NPI Number: | 1003669698 |
| Provider Name: | COLIN PAUL CARPENTER DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2024 |
| Last Updated: | 04/11/2024 |
Provider Practice Location
7901 BROADWAY
ELMHURST
NY
113731329
Practice Location Phone/Fax
| Phone: | 7183344000 |
| Fax: |
Provider Mailing Location
7901 BROADWAY
ELMHURST
NY
113731329
Provider Mailing Phone/Fax
| Phone: | 7183344000 |
| Fax: |