MEDICARE: DR. MICHAEL ELLIOT KARP 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	207Q00000X	Family Medicine Physician	134722	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	134722	OTHER	NY	LICENSE NUMBER

General Provider Information

NPI Number	:	1356335434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ELLIOT KARP M.D.

Provider Business Mailing Address
First Line	:	868 CHURCH ST STE 2
Second Line	:
City	:	BOHEMIA
State	:	NY
Zip	:	11716-5021
Country	:	US
Telephone Number	:	631-665-4781
Fax Number	:	631-665-4793

Provider Business Practice Location Address
First Line	:	868 CHURCH ST STE 2
Second Line	:
City	:	BOHEMIA
State	:	NY
Zip	:	11716-5021
Country	:	US
Telephone Number	:	631-665-4781
Fax Number	:	631-665-4793

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	11/30/2024

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