Healthcare Provider Details

I. General information

NPI: 1427150200
Provider Name (Legal Business Name): DEBORAH KARMEL KANARFOGEL OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 E 116TH ST WIZARD OF EYES
NEW YORK NY
10029-1342
US

IV. Provider business mailing address

187 E 116TH ST WIZARD OF EYES
NEW YORK NY
10029-1342
US

V. Phone/Fax

Practice location:
  • Phone: 212-996-7676
  • Fax:
Mailing address:
  • Phone: 212-996-7676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License NumberVUT003879-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: