CLR CARTHAGE LLC NPI 1922537844

NPI Information

  • NPI: 1922537844
  • Provider Name: CLR CARTHAGE LLC
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Other Name: CARTHAGE PHYSICIAN GROUP
  • Address: 1045 WEST ST
    CARTHAGE, NY
    ZIP 13619
  • Phone: (315) 493-3221

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NPI Details

CLR CARTHAGE LLC is a geriatric medicine internal medicine in Carthage, NY. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. CLR CARTHAGE LLC NPI is 1922537844. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Carthage Physician Group.

The provider's business location address is:

1045 WEST ST
CARTHAGE, NY
ZIP 13619-762
Phone: (315) 493-3221
Fax: (315) 493-6523

The provider's authorized official is Kenneth Rozenberg .
The authorized official title is Member and has the following contact phone number (718) 931-9700.

The enumeration date for this NPI number is 6/5/2017 and was last updated on 4/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100774465MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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