Provider Demographics
NPI:1124139316
Name:ALTSZULER, KAREN M (DDS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:M
Last Name:ALTSZULER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MADISON AVE
Mailing Address - Street 2:29TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5602
Mailing Address - Country:US
Mailing Address - Phone:212-688-2820
Mailing Address - Fax:212-759-3170
Practice Address - Street 1:501 MADISON AVE
Practice Address - Street 2:29TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5602
Practice Address - Country:US
Practice Address - Phone:212-688-2820
Practice Address - Fax:212-759-3170
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0378581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice