Karen Ann Jarosz, LICENSED PRACTICAL N

Individual provider Active NPI Licensed Practical Nurse · Scotia, NY

NPI 1003131962 · NPPES record last updated Apr 5, 2010

Key facts

NPI
1003131962
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
133907-1 (NY)
Practice address
109 Mohawk Ave
Scotia, NY 12302
Phone
(518) 370-1515
NPI assigned
Apr 5, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
133907-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 133907-1 NY Yes

Addresses

Primary practice location

109 Mohawk Ave
Scotia, NY 12302

Mailing address

109 Mohawk Ave
Scotia, NY 12302
Phone (518) 370-1515

Other providers in Scotia, NY

All providers in Scotia, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.