Carlson, Stephan Michael

Carlson, Stephan Michael is an individual health care provider with primary practice located at One Brookdale Plaza Dept. Of Psychiatry, Brooklyn NY 11212-3198. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Carlson, Stephan Michael can be contacted via phone (718) 240-6059.

Contact Information

Primary practice address
One Brookdale Plaza Dept. Of Psychiatry Brooklyn NY 11212-3198
Phone: (718) 240-6059
Fax: (718) 240-5986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 2436561 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 243656 New York

Profile Details

NPI number 1275680068
LBN Legal business name Carlson, Stephan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated May 27th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275680068 NPPES
New York MEDICAID 03013141

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