Basic Information
| Provider Information | |||||||||
| NPI: | 1386893584 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KLINGHOFFER | ||||||||
| FirstName: | CARLI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2590 FRISBY AVE | ||||||||
| Address2: | FIRST FLOOR | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104613240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182391610 | ||||||||
| FaxNumber: | 7187927053 | ||||||||
| Practice Location | |||||||||
| Address1: | 2590 FRISBY AVE | ||||||||
| Address2: | FIRST FLOOR | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104613240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182391610 | ||||||||
| FaxNumber: | 7187927053 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2008 | ||||||||
| LastUpdateDate: | 10/12/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 262156 | NY | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.