MEDICARE: DR. YEVGENIYA KARMAZIN

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	207R00000X	Internal Medicine Physician	198112	NY

General Provider Information

NPI Number	:	1124166152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YEVGENIYA KARMAZIN

Provider Business Mailing Address
First Line	:	252 E 57TH ST
Second Line	:	APT 42A
City	:	NEW YORK
State	:	NY
Zip	:	10022-3455
Country	:	US
Telephone Number	:	516-374-0974
Fax Number	:	516-374-0978

Provider Business Practice Location Address
First Line	:	3084 BRIGHTON 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5608
Country	:	US
Telephone Number	:	718-891-5100
Fax Number	:	718-891-8810

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

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	03/03/2020

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