Provider Demographics
NPI:1518119882
Name:RECK, KARYN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KARYN
Middle Name:
Last Name:RECK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ESTHER AVE
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-1525
Mailing Address - Country:US
Mailing Address - Phone:914-261-0500
Mailing Address - Fax:
Practice Address - Street 1:19 ESTHER AVE
Practice Address - Street 2:
Practice Address - City:CONGERS
Practice Address - State:NY
Practice Address - Zip Code:10920-1525
Practice Address - Country:US
Practice Address - Phone:914-261-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-18
Last Update Date:2008-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007799-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency