Individual
CARLOS EDUARDO HALLO CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
79-01 BROADWAY, 10, C 10-19A, ELMHURST, NY 11373
(973) 818-6527
Mailing address
79-01 BROADWAY, 10, C 10-19A, ELMHURST, NY 11373
(718) 334-3454
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
334868
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2020
Last updated
08/09/2025
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