Provider Demographics
NPI:1720291263
Name:MICHELLA, KAREN ANNE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANNE
Last Name:MICHELLA
Suffix:
Gender:F
Credentials:PT, DPT
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Mailing Address - Street 1:NEW YORK-PRESBYTERIAN/HUDSON VALLEY HOSPITAL
Mailing Address - Street 2:1980 CROMPOND ROAD
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-4144
Mailing Address - Country:US
Mailing Address - Phone:913-734-3251
Mailing Address - Fax:914-737-6439
Practice Address - Street 1:NEW YORK-PRESBYTERIAN/HUDSON VALLEY HOSPITAL
Practice Address - Street 2:1980 CROMPOND ROAD
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567
Practice Address - Country:US
Practice Address - Phone:914-734-3251
Practice Address - Fax:914-737-6439
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY025147225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03158110Medicaid
NYA400018603Medicare PIN