Provider Demographics
NPI:1811505720
Name:CASINO, KARLA LOUELLE TIMBOL (PT)
Entity type:Individual
Prefix:MS
First Name:KARLA LOUELLE
Middle Name:TIMBOL
Last Name:CASINO
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:8601 AVA PLACE
Mailing Address - Street 2:APT 2
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432
Mailing Address - Country:US
Mailing Address - Phone:917-634-1208
Mailing Address - Fax:
Practice Address - Street 1:SYNERGY HEALTH MEDICAL SOLUTIONS PC
Practice Address - Street 2:95 CLINTON ST
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550
Practice Address - Country:US
Practice Address - Phone:516-280-2022
Practice Address - Fax:516-538-8988
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY045635-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist