Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 239751 | NY |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | CMD13051 | RI |
NPI | 1639231673 |
---|---|
Provider Name | Dr. Cassandra Leigh Carberry |
First Address | Providence, RI 02903-4829 |
Second Address | Providence, RI 02903-4829 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 17/03/2018 |