Provider Demographics
NPI:1487621181
Name:ENGLISH, CARY M
Entity type:Individual
Prefix:
First Name:CARY
Middle Name:M
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 FULTON ST
Mailing Address - Street 2:BROOKLYN PLAZA MEDICAL CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217
Mailing Address - Country:US
Mailing Address - Phone:718-596-9800
Mailing Address - Fax:718-596-9889
Practice Address - Street 1:650 FULTON ST
Practice Address - Street 2:BROOKLYN PLAZA MEDICAL CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217
Practice Address - Country:US
Practice Address - Phone:718-596-9800
Practice Address - Fax:718-596-9889
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1424931207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000311OtherCOMMUNITY CARE PARTNERS
5315357OtherAETNA PPO POS
P461938OtherOXFORD
40426058486OtherFIDELIS
PC2098OtherCENTERCARE CHP
462669OtherAETNA HMO
87673OtherGHI PPO
11P9131OtherNY PRES CHP
142493OtherHIP
187458OtherWELLCARE
2591038OtherGHI
0000224501OtherAMERICHOICE
142493A21OtherHEALTHFIRST
275780101OtherHEALTHPLUS CHILD HEALTH P