Provider Demographics
NPI:1144749334
Name:KARP, SYDNEY M (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:SYDNEY
Middle Name:M
Last Name:KARP
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 1:7 E 14TH ST APT 826
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3126
Mailing Address - Country:US
Mailing Address - Phone:201-655-9845
Mailing Address - Fax:
Practice Address - Street 1:111 BROADWAY RM 1000
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006-3904
Practice Address - Country:US
Practice Address - Phone:212-375-4019
Practice Address - Fax:212-375-4018
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021382-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant