Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle Christine Carrillo

Individual provider Physician Assistant · NPI 1164143244

Michelle Christine Carrillo is a Physician Assistant in New York, New York. Qualified in 2022, 4 years ago. Practices with MSKCC Clinical Practice Plan, a 87-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 163 William St Fl 5, New York, NY 10038-2613 — (212) 618-6053

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 029212 (NY)

Record details

NPI number1164143244
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2022
Last updated in NPPESOctober 21, 2022
Certification dateOctober 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mskcc Clinical Practice Plan — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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