Provider Demographics
NPI:1326532144
Name:KNIGHT, KAREN P
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:P
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 DEEP HOLE RD
Mailing Address - Street 2:
Mailing Address - City:CALVERTON
Mailing Address - State:NY
Mailing Address - Zip Code:11933-1430
Mailing Address - Country:US
Mailing Address - Phone:631-591-9015
Mailing Address - Fax:
Practice Address - Street 1:242 DEEP HOLE RD
Practice Address - Street 2:
Practice Address - City:CALVERTON
Practice Address - State:NY
Practice Address - Zip Code:11933-1430
Practice Address - Country:US
Practice Address - Phone:631-591-9015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist