Individual
CARLOS CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1651 3RD AVE, SUITE 201, NEW YORK, NY 10128-3679
(510) 499-4456
Mailing address
225 E 95TH ST APT 4C, NEW YORK, NY 10128-4001
(510) 499-4456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW 19139
CA
2084P0800X
Psychiatry Physician
Primary
259695
NY
Other
Enumeration date
01/11/2007
Last updated
11/29/2012
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