Provider Demographics
NPI:1558623140
Name:BURNS, KAREN ANN (MSED)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:BURNS
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 VAN CORTLANDT PARK E
Mailing Address - Street 2:APT5C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10470-1952
Mailing Address - Country:US
Mailing Address - Phone:646-596-4056
Mailing Address - Fax:
Practice Address - Street 1:4320 VAN CORTLANDT PARK E
Practice Address - Street 2:APT5C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1952
Practice Address - Country:US
Practice Address - Phone:646-596-4056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator