Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 237370 | NY |
N | 111NI0900X | Internist | 237370 | NY |
Y | 207RR0500X | Rheumatology | 237370 | NY |
NPI | 1013033646 |
---|---|
Provider Name | Dr. Elaine Karis |
First Address | Southampton, NY 11969-2340 |
Second Address | Hampton Bays, NY 11946-2345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 01/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02978247 | (05) | NY |