Provider Demographics
NPI:1447386248
Name:CHARLOT, KARINE (MD)
Entity Type:Individual
Prefix:
First Name:KARINE
Middle Name:
Last Name:CHARLOT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARINE
Other - Middle Name:
Other - Last Name:CHARLOT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7 MARTIN PL
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-1113
Mailing Address - Country:US
Mailing Address - Phone:631-893-7718
Mailing Address - Fax:631-422-1537
Practice Address - Street 1:240A LONG ISLAND AVE
Practice Address - Street 2:
Practice Address - City:WYANDANCH
Practice Address - State:NY
Practice Address - Zip Code:11798-3123
Practice Address - Country:US
Practice Address - Phone:631-782-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242678-12084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY051BT1Medicare PIN