Provider Demographics
NPI:1851777023
Name:MINUNNO, KAREN E (M ED)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:E
Last Name:MINUNNO
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:E
Other - Last Name:BRUNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:533 MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11978-1802
Mailing Address - Country:US
Mailing Address - Phone:631-680-9060
Mailing Address - Fax:631-288-4659
Practice Address - Street 1:533 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-1802
Practice Address - Country:US
Practice Address - Phone:631-680-9060
Practice Address - Fax:631-288-4659
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator