Healthcare Provider Details

I. General information

NPI: 1063358646
Provider Name (Legal Business Name): MRS. KAREN LYNN SCONZO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 NORTH ST
HARRISON NY
10528-1140
US

IV. Provider business mailing address

275 NORTH ST
HARRISON NY
10528-1140
US

V. Phone/Fax

Practice location:
  • Phone: 914-925-5642
  • Fax: 914-925-5176
Mailing address:
  • Phone: 914-925-5642
  • Fax: 914-925-5261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCRPA-D-9255
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: