Doctor Name: | DR. KAREN NIELSEN |
NPI Number: | 1568651198 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 248989 |
Business Practice Address: | 260 W Broadway Suite 2 New York, NY - 100132259 |
Business Phone Number: | 2122066759 |
Business Fax Number: | |
Mailing Address: | 288 Driggs Ave, Apt 2l BROOKLYN |
State: | NY |
Postal Code: | 112223989 |
Phone Number: | 2122066759 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2007 |
NPI Last Update Date: | 03/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 248989 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |