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General NPI Number Information
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NPI Number | 1063490266
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Entity Type | Individual
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Provider Name | MICHAEL LAWRENCE CARLIN MD
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 260 N ROUTE 303
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City | WEST NYACK
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State | NY
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Zip | 10994-1608
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Country | US
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Telephone | 845-353-0400
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Fax | 845-353-6858
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Provider Business Mailing Address
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Address Line | 260 N ROUTE 303
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City | WEST NYACK
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State | NY
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Zip | 10994-1608
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Country | US
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Telephone | 845-353-0400
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Fax | 845-353-6858
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 179507
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME94695
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 179507
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License Number State | NY
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