Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 248989 | NY |
Y | 208D00000X | General Practice Physician | 248989 | NY |
NPI | 1568651198 |
---|---|
Provider Name | Dr. Karen Nielsen |
First Address | New York, NY 10024-6849 |
Second Address | New York, NY 10010-1005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2007 |
Last Update Date | 25/05/2021 |