Provider Demographics
NPI:1669737441
Name:LINDEMAN, KAREN WISE (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:WISE
Last Name:LINDEMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2128 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:14750-9620
Mailing Address - Country:US
Mailing Address - Phone:716-763-7192
Mailing Address - Fax:
Practice Address - Street 1:2128 RIDGE RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NY
Practice Address - Zip Code:14750-9620
Practice Address - Country:US
Practice Address - Phone:716-763-7192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2007107174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist