Healthcare Provider Details

I. General information

NPI: 1316375819
Provider Name (Legal Business Name): KARA OCULATO LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2013
Last Update Date: 10/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 CENTER ST
NEW PALTZ NY
12561-2006
US

IV. Provider business mailing address

15 WATCH HILL RD
NEW PALTZ NY
12561-2705
US

V. Phone/Fax

Practice location:
  • Phone: 860-306-6084
  • Fax:
Mailing address:
  • Phone: 860-306-6084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number020473
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: