St. Martin, Carlisle L

St. Martin, Carlisle L is an individual health care provider with primary practice located at 115-10 Queens Blvd , Forest Hills NY 11375-7060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. St. Martin, Carlisle L can be contacted via phone (718) 520-0808.

Contact Information

Primary practice address
115-10 Queens Blvd Forest Hills NY 11375-7060
Fax: (718) 544-0972
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 153547 New York

Profile Details

NPI number 1790764348
LBN Legal business name St. Martin, Carlisle L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 2nd, 2008 - about 16 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 1790764348 NPPES
New York MEDICAID 00822028

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