Provider Demographics
NPI:1790990489
Name:CARTIER, RENEE BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:BETH
Last Name:CARTIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUDSON FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12839-1013
Mailing Address - Country:US
Mailing Address - Phone:518-747-2855
Mailing Address - Fax:
Practice Address - Street 1:19 7TH AVE
Practice Address - Street 2:
Practice Address - City:HUDSON FALLS
Practice Address - State:NY
Practice Address - Zip Code:12839-1013
Practice Address - Country:US
Practice Address - Phone:518-747-2855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010287-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC10287-3 BOtherWORKER'S COMP AUTH NO.
NYC10287-3 BOtherWORKER'S COMP AUTH NO.
NYU87717Medicare UPIN