Provider Demographics
NPI:1518950906
Name:HARRACKSINGH, CAROL (MD)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:HARRACKSINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 VETERANS RD STE 11
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4187
Mailing Address - Country:US
Mailing Address - Phone:914-245-3056
Mailing Address - Fax:914-962-9046
Practice Address - Street 1:200 VETERANS RD STE 111
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4130
Practice Address - Country:US
Practice Address - Phone:914-245-3056
Practice Address - Fax:914-962-9046
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1845441207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
41K081Medicare ID - Type Unspecified
E97701Medicare UPIN