Karen I Bifulco, RN
Individual provider Active NPI Registered Nurse · Baldwinsville, NY
NPI 1164845301 · NPPES record last updated Jan 23, 2014
Key facts
- NPI
- 1164845301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 441596 (NY)
- Practice address
- 3091 Corlear Dr
Baldwinsville, NY 13027-8922 - Phone
- (315) 303-5643
- NPI assigned
- Jan 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 441596 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 441596 | NY | Yes |
Addresses
Primary practice location
3091 Corlear Dr
Baldwinsville, NY 13027-8922
Mailing address
3091 Corlear Dr
Baldwinsville, NY 13027-8922
Phone (315) 303-5643
Other providers in Baldwinsville, NY
- Vera Catherine Beaton
- Samantha Beebe
- Lauren C Belair
- Sheri M. Belczak
- Michelle Benjamin
- Joseph D Bill
- Ashley Bird
- Cassandra Sage Bluff
- Elizabeth Blume
- Tracy Lynn Boisey
All providers in Baldwinsville, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.