Healthcare Provider Details

I. General information

NPI: 1750208625
Provider Name (Legal Business Name): KRISTY E CARLIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

435 E 70TH ST APT 27M
NEW YORK NY
10021-5349
US

V. Phone/Fax

Practice location:
  • Phone: 646-697-6428
  • Fax:
Mailing address:
  • Phone: 718-887-4859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberF433650
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: