Provider Demographics
NPI:1063716439
Name:KARAFANTIS, MARIA (MED/OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:KARAFANTIS
Suffix:
Gender:F
Credentials:MED/OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 CRABTREE LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1512
Mailing Address - Country:US
Mailing Address - Phone:516-849-9627
Mailing Address - Fax:
Practice Address - Street 1:58 CRABTREE LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1512
Practice Address - Country:US
Practice Address - Phone:516-849-9627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012563-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist