Healthcare Provider Details

I. General information

NPI: 1518900927
Provider Name (Legal Business Name): KAREN CHRAPPA P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 WILLIAM ST
GLEN HEAD NY
11545-1050
US

IV. Provider business mailing address

26 WILLIAM ST
GLEN HEAD NY
11545-1050
US

V. Phone/Fax

Practice location:
  • Phone: 516-286-0125
  • Fax: 516-759-6470
Mailing address:
  • Phone: 516-286-0125
  • Fax: 516-759-6470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number010104-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: