Healthcare Provider Details

I. General information

NPI: 1831663525
Provider Name (Legal Business Name): KARA EARLE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2019
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E 70TH ST
NEW YORK NY
10021-9800
US

IV. Provider business mailing address

537 FIRST ST
MAMARONECK NY
10543-1602
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-2072
  • Fax:
Mailing address:
  • Phone: 845-323-7310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF342322-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: