Provider Demographics
NPI:1851554109
Name:NIEKE, KAREN ANN
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:NIEKE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:NIEKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:266 YULAN-BARRYVILLE ROAD
Mailing Address - Street 2:PO BOX 6
Mailing Address - City:YULAN
Mailing Address - State:NY
Mailing Address - Zip Code:12792-0006
Mailing Address - Country:US
Mailing Address - Phone:845-557-0725
Mailing Address - Fax:
Practice Address - Street 1:20 COMMUNITY LN
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NY
Practice Address - Zip Code:12754-2851
Practice Address - Country:US
Practice Address - Phone:845-292-8770
Practice Address - Fax:845-292-4298
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker