Provider Demographics
NPI:1265536320
Name:SHEARES, KAREN DORSEY (MD)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:DORSEY
Last Name:SHEARES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:BARBARA
Other - Last Name:DORSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4455 DOUGLAS AVE APT 10D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3546
Mailing Address - Country:US
Mailing Address - Phone:212-927-3214
Mailing Address - Fax:
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-737-2153
Practice Address - Fax:203-785-2180
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT039629208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics