Provider Demographics
NPI:1700862513
Name:LOLLI, KAREN H (APRN)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:H
Last Name:LOLLI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:82 OLD MANSION RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-4800
Mailing Address - Country:US
Mailing Address - Phone:845-783-3219
Mailing Address - Fax:
Practice Address - Street 1:861 BEDFORD RD
Practice Address - Street 2:PACE UNIVERSITY HEALTH CARE
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2700
Practice Address - Country:US
Practice Address - Phone:914-773-3759
Practice Address - Fax:914-773-3561
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330854-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily