Provider Demographics
NPI:1245346915
Name:SELICK, CARYN E (MD)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:E
Last Name:SELICK
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 1:550 BILTMORE WAY PH 3A
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5722
Mailing Address - Country:US
Mailing Address - Phone:305-800-2229
Mailing Address - Fax:305-847-3873
Practice Address - Street 1:550 BILTMORE WAY PH 3A
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5722
Practice Address - Country:US
Practice Address - Phone:305-800-2229
Practice Address - Fax:305-847-3873
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY181506207V00000X, 207VE0102X
FLME110940207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3565993002OtherCIGNA
NYOM1299OtherHEALTHNET
P44356Medicare UPIN
NY3565993002OtherCIGNA