Provider Demographics
NPI:1710707385
Name:CABRERA, KARINA (MSED)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:CABRERA
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 DE KRUIF PL APT 32J
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-2450
Mailing Address - Country:US
Mailing Address - Phone:347-579-3391
Mailing Address - Fax:
Practice Address - Street 1:100 DE KRUIF PL APT 32J
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-2450
Practice Address - Country:US
Practice Address - Phone:347-579-3391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist