Provider Demographics
NPI:1407399868
Name:KARAS, IRENE (SLP)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:KARAS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3521 28TH ST
Mailing Address - Street 2:APT C1
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-3262
Mailing Address - Country:US
Mailing Address - Phone:646-327-4020
Mailing Address - Fax:
Practice Address - Street 1:3521 28TH ST
Practice Address - Street 2:APT C1
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-3262
Practice Address - Country:US
Practice Address - Phone:646-327-4020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-02
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist