Provider Demographics
NPI:1407821127
Name:ERNST, CARRIE LISA (MD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:LISA
Last Name:ERNST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:LISA
Other - Last Name:ZINAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:MOUNT SINAI MEDICAL CENTER- PSYCHIATRY, BOX 1230
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6500
Mailing Address - Country:US
Mailing Address - Phone:212-659-8856
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:MOUNT SINAI HOSP, DEPT OF PSYCHIATRY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6500
Practice Address - Country:US
Practice Address - Phone:212-659-8856
Practice Address - Fax:212-849-2682
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2211342084P0800X
NY239855-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2102137Medicaid
MA468154OtherTUFTS HEALTH PLAN
MAJ28927OtherBCBS MA
MAJ28927OtherBCBS MA
MA468154OtherTUFTS HEALTH PLAN