Provider Demographics
NPI:1013239144
Name:MCCAULEY, KAREN JOYCE (RN, CDE)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JOYCE
Last Name:MCCAULEY
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W 65TH ST
Mailing Address - Street 2:C LEVEL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6601
Mailing Address - Country:US
Mailing Address - Phone:212-712-9944
Mailing Address - Fax:212-769-7825
Practice Address - Street 1:15 W 65TH ST
Practice Address - Street 2:C LEVEL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6601
Practice Address - Country:US
Practice Address - Phone:212-712-9944
Practice Address - Fax:212-769-7825
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY412884-1163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator