Willis, Carolyn

Willis, Carolyn is an individual health care provider with primary practice located at 54 New Hyde Park Rd Suite 400, Garden City NY 11530-3909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Willis, Carolyn can be contacted via phone (516) 488-1313.

Contact Information

Primary practice address
54 New Hyde Park Rd Suite 400 Garden City NY 11530-3909
Phone: (516) 488-1313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 226705 New York

Profile Details

NPI number 1376595215
LBN Legal business name Willis, Carolyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 25th, 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.

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