Dr. Carlisle L St. Martin, M.D.
Psychiatry & Neurology, Neurology in Forest Hills, NY. Individual provider (NPI-1).
NPI number1790764348
StatusActive
Last updated in NPPESJul 2, 2008
Details
- NPI
- 1790764348
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carlisle L St. Martin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2006
- Last updated
- Jul 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 153547 | NY | Yes |
Practice location
115-10 Queens BlvdForest Hills, NY 11375-7060
Phone 718-520-0808 · Fax 718-544-0972
Mailing address
11510 Queens BlvdForest Hills, NY 11375-7060
Phone 718-520-0808 · Fax 718-544-0972
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