Provider Demographics
NPI:1174829063
Name:CARTER, SONDRA LYNNE (MD)
Entity Type:Individual
Prefix:DR
First Name:SONDRA
Middle Name:LYNNE
Last Name:CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 PARK AVE
Mailing Address - Street 2:5H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2553
Mailing Address - Country:US
Mailing Address - Phone:212-687-2476
Mailing Address - Fax:
Practice Address - Street 1:80 PARK AVE
Practice Address - Street 2:5H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2553
Practice Address - Country:US
Practice Address - Phone:212-687-2476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-10
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155482208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice