Provider Demographics
NPI:1649309899
Name:KAREN R. BANKS-LINDNER, DO, PLLC
Entity type:Organization
Organization Name:KAREN R. BANKS-LINDNER, DO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BANKS-LINDNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:607-336-1749
Mailing Address - Street 1:45-47 HALE STREET
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-1325
Mailing Address - Country:US
Mailing Address - Phone:607-336-1749
Mailing Address - Fax:607-334-3700
Practice Address - Street 1:45-47 HALE STREET
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1325
Practice Address - Country:US
Practice Address - Phone:607-336-1749
Practice Address - Fax:607-334-3700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218446207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
118043OtherMVP
321669OtherMVP
000000103116OtherGHI/HMO
0181802OtherGHI/PPO
P00000069290OtherGHI FAMILY HEALTH PLUS
P00000084792OtherGHI FAMILY HEALTH PLUS
P00300279/DE5542OtherPALMETTO GBA
10044763/W649OtherCDPHP
2589266OtherGHI/PPO
000000120928OtherGHI/HMO
NY02087983Medicaid
10042623/W649OtherCDPHP
H27421OtherTODAYS OPTIONS
321669OtherMVP
H27421OtherTODAYS OPTIONS