Provider Demographics
NPI:1023154937
Name:STUGENSKY, KAREN MERYL (RPA-C)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MERYL
Last Name:STUGENSKY
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2550 INDEPENDENCE AVE
Mailing Address - Street 2:1N
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-6225
Mailing Address - Country:US
Mailing Address - Phone:718-549-9495
Mailing Address - Fax:
Practice Address - Street 1:5141 BROADWAY
Practice Address - Street 2:ALLEN PAVILION
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-1159
Practice Address - Country:US
Practice Address - Phone:212-932-4125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY002816-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical