Healthcare Provider Details

I. General information

NPI: 1992941702
Provider Name (Legal Business Name): CARNEGIE HILL INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 E 92ND ST
NEW YORK NY
10128-1620
US

IV. Provider business mailing address

116 E 92ND ST
NEW YORK NY
10128-1620
US

V. Phone/Fax

Practice location:
  • Phone: 212-289-7166
  • Fax: 212-831-6433
Mailing address:
  • Phone: 212-289-7166
  • Fax: 212-831-6433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number7002190R
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number7002190R
License Number StateNY

VIII. Authorized Official

Name: ANNA MARIE KARKUS
Title or Position: CEO
Credential:
Phone: 212-289-7166