Provider Demographics
NPI:1770230815
Name:GARBER, CAROL EWING (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:EWING
Last Name:GARBER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:420 RIVERSIDE DR APT 2F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7750
Mailing Address - Country:US
Mailing Address - Phone:401-447-8750
Mailing Address - Fax:
Practice Address - Street 1:525 WEST 120TH STREET
Practice Address - Street 2:BUILDING 528, ROOM 1058
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:212-678-3891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist