Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | 048974 | NY |
Y | 1223P0221X | Pediatric Dentist | 21227 | NJ |
N | 1223X0400X | Orthodontists | 048974 | NY |
NPI | 1093722886 |
---|---|
Provider Name | Dr. Christina Rose Carter |
First Address | New York, NY 10021-6635 |
Second Address | New York, NY 10021-6635 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 13/07/2007 |