Provider Demographics
NPI:1770807794
Name:CARPENTER, TODD JARED (MD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:JARED
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 95000-5560
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-5560
Mailing Address - Country:US
Mailing Address - Phone:866-388-2919
Mailing Address - Fax:866-388-4127
Practice Address - Street 1:259 1ST ST
Practice Address - Street 2:RADIATION ONCOLOGY DEPT
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3957
Practice Address - Country:US
Practice Address - Phone:516-663-2502
Practice Address - Fax:516-663-8558
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2022-08-08
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Provider Licenses
StateLicense IDTaxonomies
NY2655922085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology