Provider Demographics
NPI:1336264019
Name:KARABIN, SUSAN DOROTHY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:DOROTHY
Last Name:KARABIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 E 61ST ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8506
Mailing Address - Country:US
Mailing Address - Phone:212-756-8890
Mailing Address - Fax:212-756-8899
Practice Address - Street 1:218 E 61ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-8506
Practice Address - Country:US
Practice Address - Phone:212-756-8890
Practice Address - Fax:212-756-8899
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0361401223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
132707350OtherFEDERAL TAX ID NUMBER