Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005171 | NY |
NPI | 1376541672 |
---|---|
Provider Name | Dr. Karen Marie Aglietti |
First Address | Ridgewood, NY 11385-3331 |
Second Address | Ridgewood, NY 11385-3331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 10/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01554136 | (05) | NY |
1780895888 | NPI (01) | NY |
480026853 | MCRR (01) | NY |
U55778 | (02) | NY |