Provider Demographics
NPI:1114183365
Name:CARNEY, STEVEN W (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:W
Last Name:CARNEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 GRAND CONCOURSE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-5221
Mailing Address - Country:US
Mailing Address - Phone:718-583-6347
Mailing Address - Fax:718-583-8047
Practice Address - Street 1:1940 GRAND CONCOURSE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-5221
Practice Address - Country:US
Practice Address - Phone:718-583-6347
Practice Address - Fax:718-583-8047
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000111681223S0112X
NY0518711223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery