MEDICARE: DR. JOYCE ELLEN GERDIS 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	2084P0800X	Psychiatry Physician	177664	NY

General Provider Information

NPI Number	:	1497888119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOYCE ELLEN GERDIS KARP M.D.

Provider Business Mailing Address
First Line	:	330 E 79TH ST
Second Line	:	SUITE 1-G
City	:	NEW YORK
State	:	NY
Zip	:	10021-0966
Country	:	US
Telephone Number	:	212-472-6483
Fax Number	:	212-263-6319

Provider Business Practice Location Address
First Line	:	330 E 79TH ST
Second Line	:	SUITE 1-G
City	:	NEW YORK
State	:	NY
Zip	:	10021-0966
Country	:	US
Telephone Number	:	212-472-6483
Fax Number	:	212-263-6319

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

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	07/08/2007

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