Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 020132 | NY |
NPI | 1093141962 |
---|---|
Provider Name | Dr. Todd Evan Karlin |
First Address | Keyport, NJ 07735-5510 |
Second Address | Bronx, NY 10467-6013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2013 |
Last Update Date | 23/09/2013 |