Provider Demographics
NPI:1508158726
Name:KARNO, JENNIFER S
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:S
Last Name:KARNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 HENRY HUDSON PKWY
Mailing Address - Street 2:APT 5D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3289
Mailing Address - Country:US
Mailing Address - Phone:646-642-5365
Mailing Address - Fax:
Practice Address - Street 1:1115 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-7501
Practice Address - Country:US
Practice Address - Phone:508-521-2280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker