Provider Demographics
NPI:1386670768
Name:MACKLER, KAREN MAXINE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MAXINE
Last Name:MACKLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 LOCKWOOD AVE
Mailing Address - Street 2:SUITE 34
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4916
Mailing Address - Country:US
Mailing Address - Phone:914-576-7070
Mailing Address - Fax:914-576-4736
Practice Address - Street 1:150 LOCKWOOD AVE
Practice Address - Street 2:SUITE 34
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4916
Practice Address - Country:US
Practice Address - Phone:914-576-7070
Practice Address - Fax:914-576-4736
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122939207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology