MEDICARE: DR. SHAWN CARLIN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	10062	NY

General Provider Information

NPI Number	:	1700264694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAWN CARLIN DC

Provider Business Mailing Address
First Line	:	162 BOGGS HILL RD
Second Line	:
City	:	NEWTOWN
State	:	CT
Zip	:	06470-1969
Country	:	US
Telephone Number	:	914-760-3449
Fax Number	:	203-364-9906

Provider Business Practice Location Address
First Line	:	3262 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-4510
Country	:	US
Telephone Number	:	718-904-0908
Fax Number	:	718-904-0352

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2015
Last Update Date	:	05/11/2015

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