Provider Demographics
NPI:1891388237
Name:GRZELEWSKI, KAREN LOUISE (LAC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LOUISE
Last Name:GRZELEWSKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CABRINI BLVD APT 135
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-3447
Mailing Address - Country:US
Mailing Address - Phone:917-856-1225
Mailing Address - Fax:
Practice Address - Street 1:140 CABRINI BLVD APT 135
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-3447
Practice Address - Country:US
Practice Address - Phone:917-856-1225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006824171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist