Provider Demographics
NPI:1912342387
Name:KAREN LAFACE MD PLLC
Entity Type:Organization
Organization Name:KAREN LAFACE MD PLLC
Other - Org Name:WOMEN'S CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LAFACE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-227-3643
Mailing Address - Street 1:950 DANBY RD STE 100-A2
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-5778
Mailing Address - Country:US
Mailing Address - Phone:607-391-2577
Mailing Address - Fax:607-272-9996
Practice Address - Street 1:950 DANBY RD STE 100-A2
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-5778
Practice Address - Country:US
Practice Address - Phone:607-391-2577
Practice Address - Fax:888-987-8119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216054207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty