MEDICARE: DR. KAREN ANN SARAYDARIAN

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	006633-1	NY

General Provider Information

NPI Number	:	1588919542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN ANN SARAYDARIAN

Provider Business Mailing Address
First Line	:	187 E MADISON AVE
Second Line	:
City	:	CRESSKILL
State	:	NJ
Zip	:	07626-2228
Country	:	US
Telephone Number	:	551-265-0022
Fax Number	:

Provider Business Practice Location Address
First Line	:	187 E MADISON AVE
Second Line	:
City	:	CRESSKILL
State	:	NJ
Zip	:	07626-2228
Country	:	US
Telephone Number	:	551-265-0022
Fax Number	:

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

Provider Enumeration Date	:	07/16/2012
Last Update Date	:	07/16/2012

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