Provider Demographics
NPI:1376095901
Name:PARADISE, CAROLYN MICHELE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:MICHELE
Last Name:PARADISE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6 GILMAN LN
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-6204
Mailing Address - Country:US
Mailing Address - Phone:914-788-1333
Mailing Address - Fax:914-788-1333
Practice Address - Street 1:6 GILMAN LN
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-6204
Practice Address - Country:US
Practice Address - Phone:914-788-1333
Practice Address - Fax:914-788-1333
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1323831207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology