Provider Demographics
NPI:1164765004
Name:MASKIN, CAROL S (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:S
Last Name:MASKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 E END AVE
Mailing Address - Street 2:UNIT #8E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7763
Mailing Address - Country:US
Mailing Address - Phone:646-942-4053
Mailing Address - Fax:
Practice Address - Street 1:180 E END AVE
Practice Address - Street 2:UNIT #8E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-7763
Practice Address - Country:US
Practice Address - Phone:646-942-4053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128082207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease