1649309899 NPI number — KAREN R. BANKS-LINDNER, DO, PLLC

Table of content: (NPI 1649309899)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649309899 NPI number — KAREN R. BANKS-LINDNER, DO, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KAREN R. BANKS-LINDNER, DO, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649309899
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45-47 HALE STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORWICH
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13815-1325
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-336-1749
Provider Business Mailing Address Fax Number:
607-334-3700

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45-47 HALE STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORWICH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13815-1325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-336-1749
Provider Business Practice Location Address Fax Number:
607-334-3700
Provider Enumeration Date:
03/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BANKS-LINDNER
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
R
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
607-336-1749

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  218446 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 118043 . This is a "MVP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 321669 . This is a "MVP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000103116 . This is a "GHI/HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0181802 . This is a "GHI/PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00000069290 . This is a "GHI FAMILY HEALTH PLUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00000084792 . This is a "GHI FAMILY HEALTH PLUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00300279/DE5542 . This is a "PALMETTO GBA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10044763/W649 . This is a "CDPHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2589266 . This is a "GHI/PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000120928 . This is a "GHI/HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02087983 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10042623/W649 . This is a "CDPHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: H27421 . This is a "TODAYS OPTIONS" identifier . This identifiers is of the category "OTHER".




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