Provider Demographics
NPI:1609817758
Name:CARLON, ANNE TERESA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:TERESA
Last Name:CARLON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:425 E 58TH ST
Mailing Address - Street 2:APT. 39A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2300
Mailing Address - Country:US
Mailing Address - Phone:212-758-0134
Mailing Address - Fax:212-758-8315
Practice Address - Street 1:235 E 67TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6040
Practice Address - Country:US
Practice Address - Phone:212-988-8100
Practice Address - Fax:212-988-3239
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY158565207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY859853Medicare UPIN