NPI 1083373393

Jamie B Carter, OWNER

Practitioner Driver Mount Vernon, NY

Practice location

Address: 78 W Kingsbridge Rd, Mount Vernon, NY 10550-4800
Phone: (917) 794-5674

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1083373393
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Dec 2021
Record last updated: 13 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.