Provider Demographics
NPI:1285683672
Name:ARCHIBALD, CARMIT (MD)
Entity Type:Individual
Prefix:
First Name:CARMIT
Middle Name:
Last Name:ARCHIBALD
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 1:40 E 84TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1115
Mailing Address - Country:US
Mailing Address - Phone:212-472-6500
Mailing Address - Fax:212-988-8737
Practice Address - Street 1:40 E 84TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1115
Practice Address - Country:US
Practice Address - Phone:212-472-6500
Practice Address - Fax:212-988-8737
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226165207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02664240Medicaid
NYI33535Medicare UPIN
NY02664240Medicaid