Individual
LUKE TAYLOR CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
602642
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
602642
NY
Other
Enumeration date
03/23/2015
Last updated
12/23/2025
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