Provider Demographics
NPI:1487430047
Name:MCLAUGHLIN, KAREN ANTOINETTE
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANTOINETTE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MOUNTAINSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-1425
Mailing Address - Country:US
Mailing Address - Phone:845-200-4357
Mailing Address - Fax:
Practice Address - Street 1:20 MOUNTAINSIDE DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10918-1425
Practice Address - Country:US
Practice Address - Phone:845-200-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011343224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant