Doctor Name: | RALPH JOSEPH CAROTENUTO |
NPI Number: | 1154463511 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 113009 |
Business Practice Address: | 157 South Lake Ave Albany, NY - 12208 |
Business Phone Number: | 5184898500 |
Business Fax Number: | |
Mailing Address: | 157 South Lake Ave, ALBANY |
State: | NY |
Postal Code: | 12208 |
Phone Number: | 5184898500 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 10/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 113009 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |