Provider Demographics
NPI:1194572917
Name:GAYLE, KARLENE
Entity type:Individual
Prefix:
First Name:KARLENE
Middle Name:
Last Name:GAYLE
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 1:1540 VAN SICLEN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11239-2412
Mailing Address - Country:US
Mailing Address - Phone:347-409-7031
Mailing Address - Fax:
Practice Address - Street 1:1540 VAN SICLEN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11239-2412
Practice Address - Country:US
Practice Address - Phone:347-409-7031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY584425-01163WA2000X, 163WD0400X, 163WI0600X, 163WM0705X, 163WP0000X, 163WP2201X, 163WX0800X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic