Provider Demographics
NPI:1407976160
Name:KARAS, MARILYNN J (NP)
Entity Type:Individual
Prefix:
First Name:MARILYNN
Middle Name:J
Last Name:KARAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARILYNN
Other - Middle Name:KARAS
Other - Last Name:BOROCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:350 CLERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1002
Mailing Address - Country:US
Mailing Address - Phone:646-220-2968
Mailing Address - Fax:212-562-5783
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-562-5831
Practice Address - Fax:212-562-5783
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420511363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health