Provider Demographics
NPI:1932696218
Name:KNOL, MEGHAN CARINA (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:CARINA
Last Name:KNOL
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270-05 76TH AVE
Mailing Address - Street 2:DIVISION OF SURGICAL EDUCATION AT NSLIJ
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040
Mailing Address - Country:US
Mailing Address - Phone:718-470-4475
Mailing Address - Fax:
Practice Address - Street 1:1999 MARCUS AVE STE M6
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2016
Practice Address - Country:US
Practice Address - Phone:516-233-3780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program