| Doctor Name: | MS. KAREN ELISE BOGERMAN-BOLLE |
| NPI Number: | 1275675001 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP |
| License Number: | F302046 |
| Business Practice Address: | 2 Pipers Gln West Nyack, NY - 109942114 |
| Business Phone Number: | 8456087559 |
| Business Fax Number: | 8452155549 |
| Mailing Address: | 2 Pipers Gln, WEST NYACK |
| State: | NY |
| Postal Code: | 109942114 |
| Phone Number: | 8456087559 |
| Fax Number: | 8452155549 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 11/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | F302046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |