Provider Demographics
NPI:1356126569
Name:GATZ, KAREN M
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:GATZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 SKUNK LN
Mailing Address - Street 2:
Mailing Address - City:CUTCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11935-1503
Mailing Address - Country:US
Mailing Address - Phone:631-767-7915
Mailing Address - Fax:
Practice Address - Street 1:37 LINCOLN DR
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-6003
Practice Address - Country:US
Practice Address - Phone:631-767-7915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health