Provider Demographics
NPI:1184727455
Name:KNIGHT, KAREN (RPAC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:58 EDGEBROOK EST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-2078
Mailing Address - Country:US
Mailing Address - Phone:716-634-3243
Mailing Address - Fax:716-634-1930
Practice Address - Street 1:825 WEHRLE DRIVE
Practice Address - Street 2:CARDIOLGOY GROUP OF WESTERN NEW YORK,PC
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-634-3243
Practice Address - Fax:716-634-1930
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005890-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB1513Medicare ID - Type Unspecified