Provider Demographics
NPI:1689065922
Name:KARPOWICZ, KARLA (MA, LCAT, BC-DMT)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:KARPOWICZ
Suffix:
Gender:F
Credentials:MA, LCAT, BC-DMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N WATER ST
Mailing Address - Street 2:APT 2-9
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-3646
Mailing Address - Country:US
Mailing Address - Phone:845-591-9244
Mailing Address - Fax:
Practice Address - Street 1:369 FULLERTON AVE
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-3768
Practice Address - Country:US
Practice Address - Phone:845-591-9244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1169225600000X, 225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist