Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 272725 | NY |
N | 2080P0203X | Pediatric Critical Care Doctor | 64849 | CT |
NPI | 1295000511 |
---|---|
Provider Name | Dr. Abigail Southard Carey |
First Address | New York, NY 10029-7149 |
Second Address | Westport, CT 06880-2643 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2012 |
Last Update Date | 11/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04130365 | (05) | NY |