Brockington, Carolyn
Brockington, Carolyn is an individual health care provider with primary practice located at 1000 10Th Ave 10Th Floor - Inn Rm G64, New York NY 10019-1147. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is her primary health care specialty. Brockington, Carolyn can be contacted via phone (212) 636-3236.Contact Information
Primary practice address
1000 10Th Ave 10Th Floor - Inn Rm G64
New York NY 10019-1147
Phone: (212) 636-3236
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2035091 | New York |
Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 203509 | New York |
Profile Details
NPI number | 1427039551 |
---|---|
LBN Legal business name | Brockington, Carolyn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 7th, 2005 |
Last updated | Nov 3rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427039551 | NPPES |
New York | MEDICAID | 02246573 |
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