Provider Demographics
NPI:1740679950
Name:NIEUCHOWICZ, KAREN (MSED)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:NIEUCHOWICZ
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 W 61ST ST APT 6F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7401
Mailing Address - Country:US
Mailing Address - Phone:516-668-6709
Mailing Address - Fax:
Practice Address - Street 1:161 W 61ST ST
Practice Address - Street 2:APT 6F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7400
Practice Address - Country:US
Practice Address - Phone:516-668-6709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY909596151174400000X
NY433920101174400000X
NY434127101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist