Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 173077 | NY |
NPI | 1033199286 |
---|---|
Provider Name | Philip C Caron |
First Address | New York, NY 10017-6706 |
Second Address | Sleepy Hollow, NY 10591-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2006 |
Last Update Date | 07/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F28314 | (02) |