Provider Demographics
NPI:1134148489
Name:HOOVER, KAREN LYNNE (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LYNNE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 MADISON ST
Mailing Address - Street 2:ROOM 107
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-7537
Mailing Address - Country:US
Mailing Address - Phone:212-238-8184
Mailing Address - Fax:212-238-8189
Practice Address - Street 1:227 MADISON ST
Practice Address - Street 2:ROOM 107
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-7537
Practice Address - Country:US
Practice Address - Phone:212-238-8184
Practice Address - Fax:212-238-8189
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187498207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF88035Medicare UPIN
NY32J5520811Medicare PIN