Provider Demographics
NPI:1215900014
Name:BROWNSTEIN, CARRIE (MD)
Entity type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:
Last Name:BROWNSTEIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 W 72ND ST APT 16D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4165
Mailing Address - Country:US
Mailing Address - Phone:646-388-2677
Mailing Address - Fax:
Practice Address - Street 1:12 W 72ND ST APT 16D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4165
Practice Address - Country:US
Practice Address - Phone:646-388-2677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2085182080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02301040Medicaid
NY02301040Medicaid
NYI29631Medicare UPIN