Healthcare Provider Details

I. General information

NPI: 1629568274
Provider Name (Legal Business Name): FABIAN ALEXANDER KARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 05/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 FORT WASHINGTON AVE
NEW YORK NY
10032-3733
US

IV. Provider business mailing address

GIESSENSTRASSE 12
FREIBURG BADEN-WUERTTEMBERG
79104
GE

V. Phone/Fax

Practice location:
  • Phone: 212-305-2688
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number293707
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: