Provider Demographics
NPI:1710144910
Name:AIELLO, KAREN A (RPA-C)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:A
Last Name:AIELLO
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 E 6TH ST
Mailing Address - Street 2:APT 3B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-6604
Mailing Address - Country:US
Mailing Address - Phone:631-445-8761
Mailing Address - Fax:
Practice Address - Street 1:ONE GUSTAVO L LEVY PLACE
Practice Address - Street 2:MOUNT SINAI MEDICAL CENTER
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-421-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011167363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03032482Medicaid
NYA400000573Medicare PIN