Provider Demographics
NPI:1407137714
Name:DELI, KAREN N (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:N
Last Name:DELI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 8TH AVE
Mailing Address - Street 2:16TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-6505
Mailing Address - Country:US
Mailing Address - Phone:860-593-5457
Mailing Address - Fax:
Practice Address - Street 1:280 PARK AVE S
Practice Address - Street 2:17L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6121
Practice Address - Country:US
Practice Address - Phone:860-593-5457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019114-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist