Provider Demographics
NPI:1497888119
Name:GERDIS KARP, JOYCE ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:ELLEN
Last Name:GERDIS KARP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:330 E 79TH ST
Mailing Address - Street 2:SUITE 1-G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0966
Mailing Address - Country:US
Mailing Address - Phone:212-472-6483
Mailing Address - Fax:212-263-6319
Practice Address - Street 1:330 E 79TH ST
Practice Address - Street 2:SUITE 1-G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0966
Practice Address - Country:US
Practice Address - Phone:212-472-6483
Practice Address - Fax:212-263-6319
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1776642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY76F821Medicare UPIN