Provider Demographics
NPI:1598798183
Name:BANKS LINDNER, KAREN R (DO)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:R
Last Name:BANKS LINDNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45-47 HALE STREET
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-0000
Mailing Address - Country:US
Mailing Address - Phone:607-336-1749
Mailing Address - Fax:607-334-3700
Practice Address - Street 1:45-47 HALE STREET
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1325
Practice Address - Country:US
Practice Address - Phone:607-336-1749
Practice Address - Fax:607-334-3700
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218446207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02087938Medicaid
2589266OtherGHI/PPO
P00000069290OtherGHI FAMILY HEALTH PLUS
000000103116OtherGHI/HMO
118043OtherMVP
10044763/W649OtherCDPHP
NY02087938Medicaid
000000103116OtherGHI/HMO