Provider Demographics
NPI:1043252604
Name:MCHYMAN, CAROLYNE (DO)
Entity Type:Individual
Prefix:
First Name:CAROLYNE
Middle Name:
Last Name:MCHYMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CAROLYNE
Other - Middle Name:
Other - Last Name:SZILAGYI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2750 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5720
Mailing Address - Country:US
Mailing Address - Phone:516-409-2000
Mailing Address - Fax:516-409-2720
Practice Address - Street 1:2750 MERRICK RD
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5720
Practice Address - Country:US
Practice Address - Phone:516-409-2000
Practice Address - Fax:516-409-2720
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9081207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL231944OtherWELLCARE LOCATION #2
FL228033OtherWELLCARE
FL268723200Medicaid
FLU3455OtherBCBS
FLI18625Medicare UPIN
FLU3455ZMedicare ID - Type Unspecified