Provider Demographics
NPI:1245379569
Name:PAPINEAU, KARL
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:
Last Name:PAPINEAU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 PINE CREST LN
Mailing Address - Street 2:
Mailing Address - City:MOOERS FORKS
Mailing Address - State:NY
Mailing Address - Zip Code:12959-2900
Mailing Address - Country:US
Mailing Address - Phone:802-863-4727
Mailing Address - Fax:
Practice Address - Street 1:19 PINE CREST LN
Practice Address - Street 2:
Practice Address - City:MOOERS FORKS
Practice Address - State:NY
Practice Address - Zip Code:12959-2900
Practice Address - Country:US
Practice Address - Phone:802-863-4727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253808208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice