Provider Demographics
NPI:1710189048
Name:CURLEY, KAREN M (RD)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:CURLEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:M
Other - Last Name:CURLEY-FRUSTACI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:PO BOX 93
Mailing Address - Street 2:
Mailing Address - City:SPARKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10976-0093
Mailing Address - Country:US
Mailing Address - Phone:845-359-8739
Mailing Address - Fax:845-613-7036
Practice Address - Street 1:355 ROUTE 340
Practice Address - Street 2:
Practice Address - City:SPARKILL
Practice Address - State:NY
Practice Address - Zip Code:10976-1230
Practice Address - Country:US
Practice Address - Phone:845-359-8739
Practice Address - Fax:845-613-7036
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000618-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4418742OtherAETNA ID
NY8000214OtherGHI ID NUMBER
NYP2679658OtherOXFORD ID
NY2006944004OtherCIGNA ID NUMBER
NY73791OtherGHI HMO ID
NY00000021889OtherWELLCARE ID
NY4418742OtherAETNA ID