Provider Demographics
NPI:1578539854
Name:KARSTEN, DENISE A (NP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:A
Last Name:KARSTEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2306
Mailing Address - Country:US
Mailing Address - Phone:315-464-9375
Mailing Address - Fax:315-464-7963
Practice Address - Street 1:725 IRVING AVE STE 503
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1683
Practice Address - Country:US
Practice Address - Phone:315-464-4470
Practice Address - Fax:315-464-7963
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008220111N00000X
NYF308265-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U63649Medicare UPIN
NYRA1406Medicare ID - Type Unspecified