Provider Demographics
NPI:1235213547
Name:GIULIANI, KAREN KELLY (RN NP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:KELLY
Last Name:GIULIANI
Suffix:
Gender:F
Credentials:RN NP
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Mailing Address - Street 1:25 CARMANS RD STE 3
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-4749
Mailing Address - Country:US
Mailing Address - Phone:631-598-2878
Mailing Address - Fax:631-598-8531
Practice Address - Street 1:25 CARMANS RD
Practice Address - Street 2:SUIT 3
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-4749
Practice Address - Country:US
Practice Address - Phone:631-598-2878
Practice Address - Fax:631-598-8531
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYRN 222212101YM0800X
NYF400319363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health