Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 029629-1 | NY |
Y | 2251P0200X | Physical Therapist - Pediatrics | 029629-1 | NY |
NPI | 1013168699 |
---|---|
Provider Name | Dr. Janel Lena Carver |
First Address | Albany, NY 12210-2704 |
Second Address | Albany, NY 12210-2704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2008 |
Last Update Date | 18/09/2009 |