Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 240019 | NY |
NPI | 1265640205 |
---|---|
Provider Name | Karen Margaret Powers |
First Address | Latham, NY 12110-2461 |
Second Address | Halfmoon, NY 12065-2467 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 29/06/2021 |