Provider Demographics
NPI:1679843130
Name:TOTINO, KAREN R (RN, ANP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:TOTINO
Suffix:
Gender:F
Credentials:RN, ANP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 MOSS LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-2522
Mailing Address - Country:US
Mailing Address - Phone:516-520-1076
Mailing Address - Fax:516-520-1076
Practice Address - Street 1:420 LEXINGTON AVE
Practice Address - Street 2:SUITE 1644
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10170-0002
Practice Address - Country:US
Practice Address - Phone:212-861-3313
Practice Address - Fax:212-987-2394
Is Sole Proprietor?:No
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF305239-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health