MEDICARE: DR. GERALD FRANZ KARNOW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	128601	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	336611	OTHER	NY	MEDICARE PROVIDER NUMBER

General Provider Information

NPI Number	:	1124131578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALD FRANZ KARNOW M.D.

Provider Business Mailing Address
First Line	:	241 HUNGRY HOLLOW RD
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-6111
Country	:	US
Telephone Number	:	845-425-7441
Fax Number	:	845-356-8468

Provider Business Practice Location Address
First Line	:	241 HUNGRY HOLLOW RD
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-6111
Country	:	US
Telephone Number	:	845-356-8494
Fax Number	:	845-356-8468

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	06/20/2018

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