Provider Demographics
NPI:1104042811
Name:ADLER, KARL PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:PAUL
Last Name:ADLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 1ST AVE
Mailing Address - Street 2:SUITE 1750
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4112
Mailing Address - Country:US
Mailing Address - Phone:212-371-1011
Mailing Address - Fax:212-751-4655
Practice Address - Street 1:1011 1ST AVE
Practice Address - Street 2:SUITE 1750
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4112
Practice Address - Country:US
Practice Address - Phone:212-371-1011
Practice Address - Fax:212-751-4655
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY100582207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00635194Medicaid
NY586033Medicare ID - Type Unspecified
NY00635194Medicaid