Provider Demographics
NPI:1457513392
Name:CARINO, ANTHONY JAMES
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JAMES
Last Name:CARINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 W 125TH ST
Mailing Address - Street 2:PATHWAYS TO HOUSING CO ANTHONY CARINO MD
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4801
Mailing Address - Country:US
Mailing Address - Phone:212-865-2021
Mailing Address - Fax:
Practice Address - Street 1:360 W 125TH ST
Practice Address - Street 2:PATHWAYS TO HOUSING CO ANTHONY CARINO MD
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4801
Practice Address - Country:US
Practice Address - Phone:212-865-2021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2486022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry