CAROL J EAGLE

Dr CAROL J EAGLE is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1964.

Contact

174 E 74TH ST
1A
NEW YORK
NY
100213534

Tel: 2125709421

CAROL J EAGLE Information

Npi 1902929805
Pac Id 4880749399
Professional Enrollment Id I20090908000059
Last Name EAGLE
First Name CAROL
Middle Name J
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1964
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 174 E 74TH ST
Line 2 Street Address 1A
Marker Of Address Line 2 Suppression
City NEW YORK
State NY
Zip Code 100213534
Phone Number 2125709421
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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