Provider Demographics
NPI:1649712365
Name:MONEGRO, KARINA (DC,MS)
Entity type:Individual
Prefix:DR
First Name:KARINA
Middle Name:
Last Name:MONEGRO
Suffix:
Gender:F
Credentials:DC,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-3607
Mailing Address - Country:US
Mailing Address - Phone:518-364-8288
Mailing Address - Fax:518-734-0445
Practice Address - Street 1:3136 ROUTE 207
Practice Address - Street 2:
Practice Address - City:CAMPBELL HALL
Practice Address - State:NY
Practice Address - Zip Code:10916-2230
Practice Address - Country:US
Practice Address - Phone:845-210-9455
Practice Address - Fax:518-734-0445
Is Sole Proprietor?:No
Enumeration Date:2016-11-11
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133N00000X
NYX012771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No133N00000XDietary & Nutritional Service ProvidersNutritionist