Provider Demographics
NPI:1487445656
Name:MITTENZWEI, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MITTENZWEI
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 1:6548 224TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2319
Mailing Address - Country:US
Mailing Address - Phone:516-238-1851
Mailing Address - Fax:
Practice Address - Street 1:6548 224TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-2319
Practice Address - Country:US
Practice Address - Phone:516-238-1851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist