Provider Demographics
NPI:1801980792
Name:CARABELL, STEVEN CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CHARLES
Last Name:CARABELL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:VA MED. CTR DEPT. OF RADIATION ONCOLOGY (114A)
Mailing Address - Street 2:79 MIDDLEVILLE RD.
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768
Mailing Address - Country:US
Mailing Address - Phone:631-261-4400
Mailing Address - Fax:631-266-6072
Practice Address - Street 1:VA MED. CTR DEPT. OF RADIATION ONCOLOGY (114A)
Practice Address - Street 2:79 MIDDLEVILLE RD.
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768
Practice Address - Country:US
Practice Address - Phone:631-261-4400
Practice Address - Fax:631-266-6072
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY1203062085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB75309Medicare UPIN