Provider Demographics
NPI:1275642431
Name:KARP, STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:KARP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 BAY RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-3012
Mailing Address - Country:US
Mailing Address - Phone:518-798-3436
Mailing Address - Fax:518-798-8593
Practice Address - Street 1:375 BAY RD
Practice Address - Street 2:SUITE 103
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-3012
Practice Address - Country:US
Practice Address - Phone:518-798-3436
Practice Address - Fax:518-798-8593
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145000207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY77E542OtherALL BLUE CROSS PLANS
NY10001017OtherCDPHP
NY00631356Medicaid
NY4872OtherGHI HMO
NY04121OtherMVP
NY145000OtherNYS LICENSE
NY04121OtherMVP
NYB81969Medicare UPIN