Healthcare Provider Details

I. General information

NPI: 1841451911
Provider Name (Legal Business Name): KAREN PIORKOWSKI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2008
Last Update Date: 11/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 HARTFORD TPKE
VERNON CT
06066-5286
US

IV. Provider business mailing address

29 NAEK RD SUITE 5
VERNON CT
06066-3942
US

V. Phone/Fax

Practice location:
  • Phone: 860-645-1100
  • Fax: 860-533-0041
Mailing address:
  • Phone: 860-872-2289
  • Fax: 860-896-1425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number048053
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: