Provider Demographics
NPI:1295903144
Name:KARASIK, STEVEN GREGORY (DPM)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:GREGORY
Last Name:KARASIK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SEAVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2836
Mailing Address - Country:US
Mailing Address - Phone:718-564-5161
Mailing Address - Fax:718-363-6717
Practice Address - Street 1:100 SEAVIEW AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-2836
Practice Address - Country:US
Practice Address - Phone:718-564-5161
Practice Address - Fax:718-363-6717
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006246213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery