Provider Demographics
NPI:1487978771
Name:CARTHEN, MICHAEL (DPM)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:CARTHEN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 E 54TH ST
Mailing Address - Street 2:APT 30
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2441
Mailing Address - Country:US
Mailing Address - Phone:646-996-9058
Mailing Address - Fax:347-312-5846
Practice Address - Street 1:1165 E 54TH ST
Practice Address - Street 2:APT 30
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2441
Practice Address - Country:US
Practice Address - Phone:646-996-9058
Practice Address - Fax:347-312-5846
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004876-1213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine