MEDICARE: MR. MICHAEL CRAIG KARP M.S. SLP-CCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	017078	NY

General Provider Information

NPI Number	:	1083869762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL CRAIG KARP M.S. SLP-CCC

Provider Business Mailing Address
First Line	:	52 BRIDLE RD
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-1729
Country	:	US
Telephone Number	:	845-354-0721
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 BRIDLE RD
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-1729
Country	:	US
Telephone Number	:	845-354-0721
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2008
Last Update Date	:	11/23/2008

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