Healthcare Provider Details
I. General information
NPI: 1164415188
Provider Name (Legal Business Name): HOWARD KARPOFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/24/2005
Last Update Date: 10/02/2020
Certification Date: 10/02/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
95 CRYSTAL RUN RD
MIDDLETOWN NY
10941-7001
US
IV. Provider business mailing address
155 CRYSTAL RUN RD
MIDDLETOWN NY
10941-4028
US
V. Phone/Fax
- Phone: 845-703-6999
- Fax: 845-703-6297
- Phone: 845-703-6999
- Fax: 845-703-6297
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086X0206X |
| Taxonomy | Surgical Oncology Physician |
| License Number | 191650 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 191650 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: