Provider Demographics
NPI:1720247067
Name:TOP, KARINA ANNE-MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:KARINA
Middle Name:ANNE-MARIE
Last Name:TOP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KARINA
Other - Middle Name:ANNE-MARIE
Other - Last Name:ISSEKUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:622 W 168TH ST
Mailing Address - Street 2:PH4W-471
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:212-342-5218
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:PH4W-471
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-9805
Practice Address - Fax:212-342-5218
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP64185390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program