Healthcare Provider Details

I. General information

NPI: 1053355800
Provider Name (Legal Business Name): JOANNA KARATHOMAS M.S CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 10/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROOKDALE PLAZA
BROOKLYN NY
11212
US

IV. Provider business mailing address

1 BROOKDALE PLZ
BROOKLYN NY
11212-3139
US

V. Phone/Fax

Practice location:
  • Phone: 718-240-6441
  • Fax: 718-240-6647
Mailing address:
  • Phone: 718-240-6441
  • Fax: 718-240-6647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1797
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: