Provider Demographics
NPI:1306010137
Name:BICSAK, KAREN L (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:BICSAK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-0352
Mailing Address - Country:US
Mailing Address - Phone:646-205-0546
Mailing Address - Fax:
Practice Address - Street 1:1086 TEANECK RD
Practice Address - Street 2:SUITE 4A
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4854
Practice Address - Country:US
Practice Address - Phone:201-862-9900
Practice Address - Fax:201-862-9136
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009297111NN0400X
CNIM 2346246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No111NN0400XChiropractic ProvidersChiropractorNeurology