Healthcare Provider Details

I. General information

NPI: 1164626503
Provider Name (Legal Business Name): KARLA J PINEL MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 GRAND CONCOURSE
BRONX NY
10453-4304
US

IV. Provider business mailing address

10 SANBORN RD
PATTERSON NY
12563-8937
US

V. Phone/Fax

Practice location:
  • Phone: 718-960-0308
  • Fax: 718-583-4080
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: