Provider Demographics
NPI:1225391709
Name:HAMANN-CASELLA, KAREN (MS)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:HAMANN-CASELLA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ADAMS CMNS
Mailing Address - Street 2:
Mailing Address - City:YAPHANK
Mailing Address - State:NY
Mailing Address - Zip Code:11980-2001
Mailing Address - Country:US
Mailing Address - Phone:631-728-6353
Mailing Address - Fax:
Practice Address - Street 1:14 ADAMS CMNS
Practice Address - Street 2:
Practice Address - City:YAPHANK
Practice Address - State:NY
Practice Address - Zip Code:11980-2001
Practice Address - Country:US
Practice Address - Phone:631-728-6353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152WV0400X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy