Provider Demographics
NPI:1124639380
Name:SAVERY, KARILL
Entity type:Individual
Prefix:
First Name:KARILL
Middle Name:
Last Name:SAVERY
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 1:760 GRAND CONCOURSE APT 2L
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3050
Mailing Address - Country:US
Mailing Address - Phone:917-385-2060
Mailing Address - Fax:
Practice Address - Street 1:760 GRAND CONCOURSE APT 2L
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3050
Practice Address - Country:US
Practice Address - Phone:197-385-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician