Healthcare Provider Details

I. General information

NPI: 1679069801
Provider Name (Legal Business Name): KAREN HOHL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2018
Last Update Date: 07/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1816 ADELAIDE CT
EAST MEADOW NY
11554-3906
US

IV. Provider business mailing address

1816 ADELAIDE CT
EAST MEADOW NY
11554-3906
US

V. Phone/Fax

Practice location:
  • Phone: 631-834-9125
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: