Provider Demographics
NPI:1982645206
Name:KARP, NOLAN S (MD)
Entity Type:Individual
Prefix:
First Name:NOLAN
Middle Name:S
Last Name:KARP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E 47TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-2303
Mailing Address - Country:US
Mailing Address - Phone:212-263-6004
Mailing Address - Fax:212-263-6319
Practice Address - Street 1:305 E 47TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-2303
Practice Address - Country:US
Practice Address - Phone:212-263-6004
Practice Address - Fax:212-263-6319
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY164653-1208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY20I481Medicare ID - Type Unspecified