Provider Demographics
NPI:1083750061
Name:VAAMONDE, CARLOS MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:MARTIN
Last Name:VAAMONDE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:NEW YORK PRESBYTERIAN HOSPITAL, 525 EAST 68TH STREET
Mailing Address - Street 2:CSS, BAKER 24
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-476-4180
Mailing Address - Fax:212-746-8415
Practice Address - Street 1:NEW YORK PRESBYTERIAN HOSPITAL, 525 EAST 68TH STREET
Practice Address - Street 2:CSS, BAKER 24
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-746-4180
Practice Address - Fax:212-746-8415
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY187269207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02099998Medicaid
NY187269OtherNYS LICENCE
NY187269OtherNYS LICENCE
NY02099998Medicaid