Provider Demographics
NPI:1629250113
Name:SKLAR, KAREN P (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:P
Last Name:SKLAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TZIPPORAH
Other - Middle Name:
Other - Last Name:SKLAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:66 DRUK STREET
Mailing Address - Street 2:
Mailing Address - City:JERUSALEM
Mailing Address - State:MIDDLE EAST
Mailing Address - Zip Code:95471
Mailing Address - Country:IL
Mailing Address - Phone:718-285-7885
Mailing Address - Fax:
Practice Address - Street 1:445 LENOX RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2017
Practice Address - Country:US
Practice Address - Phone:718-270-8823
Practice Address - Fax:718-270-1985
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201769174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYOH4131Medicaid
NYOH4131Medicaid