Provider Demographics
NPI:1831356336
Name:KAROUNOS, MARIANNA (DO)
Entity type:Individual
Prefix:DR
First Name:MARIANNA
Middle Name:
Last Name:KAROUNOS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 PROSPECT AVE
Mailing Address - Street 2:APT. 6E
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2210
Mailing Address - Country:US
Mailing Address - Phone:201-546-8397
Mailing Address - Fax:
Practice Address - Street 1:185 PROSPECT AVE
Practice Address - Street 2:APT. 6E
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2210
Practice Address - Country:US
Practice Address - Phone:201-546-8397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY260758207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program