Healthcare Provider Details

I. General information

NPI: 1396429684
Provider Name (Legal Business Name): CARNEGIE HILL OF NEW YORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 E 92ND ST APT 1A
NEW YORK NY
10128-1682
US

IV. Provider business mailing address

116 E 92ND ST APT 1A
NEW YORK NY
10128-1682
US

V. Phone/Fax

Practice location:
  • Phone: 646-672-1105
  • Fax:
Mailing address:
  • Phone: 646-672-1105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: ANNA MARIE KARKUS
Title or Position: CEO
Credential:
Phone: 305-772-2289