Healthcare Provider Details

I. General information

NPI: 1649968140
Provider Name (Legal Business Name): ABIRAMY KARUNANATHAN MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 BARD AVENUE DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
STATEN ISLAND NY
10310
US

IV. Provider business mailing address

355 BARD AVE
STATEN ISLAND NY
10310-1699
US

V. Phone/Fax

Practice location:
  • Phone: 718-818-2419
  • Fax:
Mailing address:
  • Phone: 718-818-2419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number346256
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: