Provider Demographics
NPI:1588672786
Name:SIERRA, CAROLINA GISELA (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINA
Middle Name:GISELA
Last Name:SIERRA
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 1:1841 BROADWAY RM 914
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7657
Mailing Address - Country:US
Mailing Address - Phone:212-541-8080
Mailing Address - Fax:
Practice Address - Street 1:1841 BROADWAY RM 914
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7657
Practice Address - Country:US
Practice Address - Phone:212-541-8080
Practice Address - Fax:212-541-9845
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229184-1207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism