Provider Demographics
NPI:1831165679
Name:CASE, KAREN B (CNM)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:B
Last Name:CASE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2868
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-0259
Mailing Address - Country:US
Mailing Address - Phone:518-314-3511
Mailing Address - Fax:518-314-3843
Practice Address - Street 1:206 CORNELIA ST STE 202
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2779
Practice Address - Country:US
Practice Address - Phone:518-314-3511
Practice Address - Fax:518-314-3843
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY360333176B00000X
NYF360333176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01549513Medicaid
NYCC0223Medicare ID - Type Unspecified
NY01549513Medicaid