Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | F401484-1 | NY |
NPI | 1013255520 |
---|---|
Provider Name | Ms. Karen Kuppel Unangst |
First Address | Syracuse, NY 13205-2552 |
Second Address | Syracuse, NY 13205-2552 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2013 |
Last Update Date | 18/01/2013 |