=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508177197
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FELIX KARAFIN MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/29/2010
-----------------------------------------------------
Last Update Date | 05/12/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 NATHAN D PERLMAN PL 16TH STREET AT 1ST AVENUE
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10003-3851
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-420-2757
-----------------------------------------------------
Fax | 212-420-2707
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8700 25TH AVE APT. 6M
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11214-5443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 646-644-4552
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number | 256505
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------