Provider Demographics
NPI:1487269015
Name:KARCZEWSKI, OLIVIA JULIA (PA-C)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:JULIA
Last Name:KARCZEWSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7764 76TH ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-8239
Mailing Address - Country:US
Mailing Address - Phone:347-907-2430
Mailing Address - Fax:
Practice Address - Street 1:1425 BLOOMFIELD ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5505
Practice Address - Country:US
Practice Address - Phone:201-706-8490
Practice Address - Fax:201-285-6514
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025588363A00000X
NJ25MP00851000363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant