=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629843644
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KAREN GIULIANI INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/20/2023
-----------------------------------------------------
Last Update Date | 11/20/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25 CARMANS RD STE 3
-----------------------------------------------------
City | MASSAPEQUA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11758-4749
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-598-2878
-----------------------------------------------------
Fax | 631-598-8531
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 70 RIVIERA DR S
-----------------------------------------------------
City | MASSAPEQUA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11758-8514
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-477-5256
-----------------------------------------------------
Fax | 631-598-8531
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROVIDER
-----------------------------------------------------
Name | KAREN GIULIANI
-----------------------------------------------------
Credential | PHD, RN, N.P.
-----------------------------------------------------
Telephone | 631-598-2878
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------