Healthcare Provider Details

I. General information

NPI: 1235213547
Provider Name (Legal Business Name): KAREN KELLY GIULIANI RN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/12/2020
Certification Date: 08/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 CARMANS RD SUIT 3
MASSAPEQUA NY
11758-4749
US

IV. Provider business mailing address

25 CARMANS RD STE 3
MASSAPEQUA NY
11758-4749
US

V. Phone/Fax

Practice location:
  • Phone: 631-598-2878
  • Fax: 631-598-8531
Mailing address:
  • Phone: 631-598-2878
  • Fax: 631-598-8531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF400319
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberRN 222212
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: