Provider Demographics
NPI:1184061822
Name:MICHAELS, KARAH
Entity type:Individual
Prefix:
First Name:KARAH
Middle Name:
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 RIVERSIDE DR
Mailing Address - Street 2:APT 8B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10031-7117
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:635 RIVERSIDE DR
Practice Address - Street 2:APT 8B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-7117
Practice Address - Country:US
Practice Address - Phone:626-818-9505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018067225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics