Healthcare Provider Details

I. General information

NPI: 1649575929
Provider Name (Legal Business Name): MS. KARINA M LIMPO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 01/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 W 27TH ST 9TH FLOOR
NEW YORK NY
10001-6903
US

IV. Provider business mailing address

111 W 57TH ST
BAYONNE NJ
07002-2212
US

V. Phone/Fax

Practice location:
  • Phone: 212-675-9355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25 004338
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: