Provider Demographics
NPI:1316263908
Name:SKOLNIK, KAREN (MPT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SKOLNIK
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N END AVE
Mailing Address - Street 2:APT #10A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10282-1222
Mailing Address - Country:US
Mailing Address - Phone:917-843-1294
Mailing Address - Fax:
Practice Address - Street 1:211 N END AVE
Practice Address - Street 2:APT #10A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10282-1222
Practice Address - Country:US
Practice Address - Phone:917-843-1294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62029791225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist