MEDICARE: KAREN S KARSIF M.D.

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	208600000X	Surgery Physician	196082	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760433957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN S KARSIF M.D.

Provider Business Mailing Address
First Line	:	20 GRAND ST
Second Line	:
City	:	WARWICK
State	:	NY
Zip	:	10990-1035
Country	:	US
Telephone Number	:	845-987-3906
Fax Number	:	845-987-5979

Provider Business Practice Location Address
First Line	:	257 LAFAYETTE AVE
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-4830
Country	:	US
Telephone Number	:	845-357-7462
Fax Number	:	845-533-7200

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

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	11/07/2013

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