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General NPI Number Information
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NPI Number | 1013071323
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Entity Type | Individual
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Provider Name | KARIN EVA BURKHARD MD
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 994 W JERICHO TPKE SUITE 202
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City | SMITHTOWN
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State | NY
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Zip | 11787-3235
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Country | US
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Telephone | 631-864-9200
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Fax | 631-864-9201
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Provider Business Mailing Address
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Address Line | PO BOX 403
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City | ISLIP TERRACE
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State | NY
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Zip | 11752-0403
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Country | US
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Telephone | 631-224-7192
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Fax | 631-326-6293
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 168146
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License Number State | NY
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