| Doctor Name: | MR. CESAR CARRASCO |
| NPI Number: | 1669620670 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 081452 |
| Business Practice Address: | 635 W 165th St Fl 6 New York, NY - 100323724 |
| Business Phone Number: | 2123056506 |
| Business Fax Number: | |
| Mailing Address: | 60 Broad St W Apt 5a, MOUNT VERNON |
| State: | NY |
| Postal Code: | 105522139 |
| Phone Number: | 2125459664 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 12/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283Q00000X |
| License Number: | 081452 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Psychiatric Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |