Provider Demographics
NPI:1942358312
Name:THEINER, CARYN J (DO)
Entity Type:Individual
Prefix:
First Name:CARYN
Middle Name:J
Last Name:THEINER
Suffix:
Gender:F
Credentials:DO
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 EAST 65TH STREET
Mailing Address - Street 2:YATTE RUDEN & ASSOCIATES LLP
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-879-4700
Mailing Address - Fax:212-750-9654
Practice Address - Street 1:201 EAST 65TH STREET
Practice Address - Street 2:YATTE RUDEN & ASSOCIATES LLP
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-879-4700
Practice Address - Fax:212-750-9654
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2333561207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine