Provider Demographics
NPI:1053572826
Name:JASPIN, CAROL ELLEN (DMD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ELLEN
Last Name:JASPIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 EAST 57TH ST STE 2501
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1908
Mailing Address - Country:US
Mailing Address - Phone:212-421-6055
Mailing Address - Fax:212-751-6614
Practice Address - Street 1:41 EAST 57TH ST STE 2501
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1908
Practice Address - Country:US
Practice Address - Phone:212-421-6055
Practice Address - Fax:212-751-6614
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0347561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice