Provider Demographics
NPI:1124166152
Name:KARMAZIN, YEVGENIYA
Entity type:Individual
Prefix:DR
First Name:YEVGENIYA
Middle Name:
Last Name:KARMAZIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 E 57TH ST
Mailing Address - Street 2:APT 42A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3455
Mailing Address - Country:US
Mailing Address - Phone:516-374-0974
Mailing Address - Fax:516-374-0978
Practice Address - Street 1:3084 BRIGHTON 13TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5608
Practice Address - Country:US
Practice Address - Phone:718-891-5100
Practice Address - Fax:718-891-8810
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198112207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG00175Medicare UPIN