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Contact Information

CYNTHIA CARLSON, MD
7905 MAIN RD
MATTITUCK, NY11952
 Phone: 631-298-2030
 Fax: 631-298-8915
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CYNTHIA CARLSON · (Female)

NPI Number 1760449615
Status Active
Credentials MD
Entity Individual
Enumeration date 04/26/2006
Last updated 05/06/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 199364
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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