Provider Demographics
NPI:1801127626
Name:DROESCH, KAREN R (NP IN PSYCHIATRY)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:R
Last Name:DROESCH
Suffix:
Gender:F
Credentials:NP IN PSYCHIATRY
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Mailing Address - Street 1:777 TUCKAHOE RD
Mailing Address - Street 2:UNIT #30
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-5247
Mailing Address - Country:US
Mailing Address - Phone:914-661-2030
Mailing Address - Fax:
Practice Address - Street 1:297 KNOLLWOOD RD
Practice Address - Street 2:SUITE 305
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1833
Practice Address - Country:US
Practice Address - Phone:914-661-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-18
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF401241-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03279009Medicaid
NY03279009Medicaid