Provider Demographics
NPI:1881699304
Name:FURNO, KAREN (PT)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:FURNO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:BAXTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:33 ABBOTT PL
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-7507
Mailing Address - Country:US
Mailing Address - Phone:631-669-2689
Mailing Address - Fax:
Practice Address - Street 1:2237A WANTAGH AVE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3917
Practice Address - Country:US
Practice Address - Phone:516-826-0116
Practice Address - Fax:516-826-0115
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017901-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00028796OtherMCR RR
NY17401OtherCIGNA ORTHONET - HMO, POS
NY17901OtherHIP
NY1904305OtherUNITED HEALTHCARE
NY96025OtherVYTRA
NYQP1071OtherBC/BS
NY1835494OtherFIRST HEALTH
NY5432103OtherCIGNA PPO
NYFK7901OtherATLANTIS
NY807074OtherMPN
NY000000077426OtherGHI HMO
NY00000094483OtherBETTER HEALTH ADVANTAGE
NY8795OtherACCESS
NYP2128238OtherOXFORD
NY3C3953OtherHEALTHNET
NY6698716OtherGHI
NY6698716OtherGHI