Healthcare Provider Details

I. General information

NPI: 1932780889
Provider Name (Legal Business Name): KAROLINA ZEKTSER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2021
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 OSTRUM ST
FOUNTAIN HILL PA
18015-1013
US

IV. Provider business mailing address

200 BELLE TERRE RD
PORT JEFFERSON NY
11777-1928
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-7246
  • Fax:
Mailing address:
  • Phone: 631-474-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberOS026209
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: