Provider Demographics
NPI:1225115579
Name:DYGERT, KAREN M (NP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:DYGERT
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:251 SALINA MEADOWS PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212
Mailing Address - Country:US
Mailing Address - Phone:315-464-2000
Mailing Address - Fax:315-464-2010
Practice Address - Street 1:725 EAST ADAMS STREET
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210
Practice Address - Country:US
Practice Address - Phone:315-464-2036
Practice Address - Fax:315-464-2051
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-08-10
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Provider Licenses
StateLicense IDTaxonomies
NYF381376363LP0200X
NY402075363LP0808X
NY381376363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health