Provider Demographics
NPI:1376620542
Name:TONDU-SMALL, CAROL ELEANOR (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ELEANOR
Last Name:TONDU-SMALL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS ROOM 2B-321
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-8000
Mailing Address - Fax:718-630-3122
Practice Address - Street 1:760 BROADWAY, WOODHULL MEDICAL & MENTAL HEALTH CENTER
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-8000
Practice Address - Fax:718-630-3122
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-03-25
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Provider Licenses
StateLicense IDTaxonomies
NY1801222080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Multi-Specialty