Provider Demographics
NPI:1922507409
Name:PAUL, CARIANN MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:CARIANN
Middle Name:MARIE
Last Name:PAUL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 E 63RD ST APT 6B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7708
Mailing Address - Country:US
Mailing Address - Phone:386-717-2212
Mailing Address - Fax:
Practice Address - Street 1:22 W 48TH ST STE 705
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-1803
Practice Address - Country:US
Practice Address - Phone:212-388-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013021-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor