Provider Demographics
NPI:1831390780
Name:ORIS, CARYL ANN
Entity type:Individual
Prefix:DR
First Name:CARYL
Middle Name:ANN
Last Name:ORIS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:CARYL
Other - Middle Name:ANN
Other - Last Name:ORIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:45 N STATION PLZ
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5011
Mailing Address - Country:US
Mailing Address - Phone:516-466-7617
Mailing Address - Fax:
Practice Address - Street 1:45 N STATION PLZ
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5011
Practice Address - Country:US
Practice Address - Phone:516-466-7617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1429862084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry