Provider Demographics
NPI:1265484133
Name:SANTIKUL, KARN (DPT)
Entity type:Individual
Prefix:
First Name:KARN
Middle Name:
Last Name:SANTIKUL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:838 SCARSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5318
Mailing Address - Country:US
Mailing Address - Phone:914-722-9200
Mailing Address - Fax:914-722-9201
Practice Address - Street 1:838 SCARSDALE AVE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5318
Practice Address - Country:US
Practice Address - Phone:914-722-9200
Practice Address - Fax:914-722-9201
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026668-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY026668-1OtherPT LICENSE
NY026668-1OtherPT LICENSE