Provider Demographics
NPI:1508939612
Name:PECHMAN, KAREN MILLER (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MILLER
Last Name:PECHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MARCY
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:170 MAPLE AVENUE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601
Mailing Address - Country:US
Mailing Address - Phone:914-683-0020
Mailing Address - Fax:914-683-0402
Practice Address - Street 1:170 MAPLE AVENUE
Practice Address - Street 2:SUITE 510
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601
Practice Address - Country:US
Practice Address - Phone:914-683-0020
Practice Address - Fax:914-683-0402
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1603631208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1603638BOtherWORK COMP.
NY1603638BOtherWORK COMP.
A63864Medicare UPIN