Provider Demographics
NPI:1346272150
Name:CARPATI, CHARLES MARK (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:MARK
Last Name:CARPATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EAST 77TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1851
Mailing Address - Country:US
Mailing Address - Phone:212-434-2140
Mailing Address - Fax:212-434-2446
Practice Address - Street 1:100 E 77TH ST
Practice Address - Street 2:LENOX HILL HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1850
Practice Address - Country:US
Practice Address - Phone:212-434-2140
Practice Address - Fax:212-434-2446
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY164389207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCF6456OtherRAIL ROAD MEDICARE
NY01178610Medicaid
NYE87350Medicare UPIN
NYCF6456OtherRAIL ROAD MEDICARE