Mrs. Carlin Borden Vickery
Sports Medicine Doctor
1125 5th Ave
New York
, New York 10128-0143
Mrs. Carlin Borden Vickery
Sports Medicine Doctor
1125 5th Ave
New York
, New York 10128-0143
(212) 996-9500
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Mrs. Carlin Borden Vickery
- 1255 5th Ave
- New York, NY
- Zip : 10029-3852
- Phone : (212) 996-9500
Second Address
- Mrs. Carlin Borden Vickery
- 1125 5th Ave
- New York, NY
- Zip : 10128-0143
- Fax : (212) 860-7446
- Phone : (212) 288-9800
Reviews
FAQs
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Is Mrs. Carlin Borden Vickery a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 144463 | NY |
National Provider Identifier
| NPI | 1740399005 |
|---|---|
| Provider Name | Mrs. Carlin Borden Vickery |
| First Address | New York, NY 10029-3852 |
| Second Address | New York, NY 10128-0143 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B15569 | (02) | NY |
| N27472 | HEALTH NET (01) | NY |
| P621719 | OXFORD (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.