Provider Demographics
NPI:1417183286
Name:DILLMAN, CARTER FRANKLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CARTER
Middle Name:FRANKLIN
Last Name:DILLMAN
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 1:666 W 188TH ST APT 2L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-4417
Mailing Address - Country:US
Mailing Address - Phone:917-553-5342
Mailing Address - Fax:212-683-4520
Practice Address - Street 1:30 PARK AVE
Practice Address - Street 2:15N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3801
Practice Address - Country:US
Practice Address - Phone:917-553-5342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-06
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255133207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine