Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | DC009297 | PA |
NPI | 1306010137 |
---|---|
Provider Name | Dr. Karen L Bicsak |
First Address | Huntington, NY 11743-0352 |
Second Address | Teaneck, NJ 07666-4854 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 20/05/2013 |