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Individual
KAREN E DECROSTA
Active
Individual
KAREN E DECROSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0090681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079903
GHI
—
01
—
10082139
CDPHP
—
01
—
1375944
UNITEDHEALTHCARE
—
01
—
350880
MVP
—
01
—
6935108
CIGNA
—
01
—
7469663
AETNA
—
01
—
804779
MPN
—
01
—
Q00F81
BLUE CROSS BLUE SHIELD
—
01
—
Q00F8QBII1
MEDICARE UNSPECIFIED
NY
Enumeration date
05/11/2006
Last updated
03/26/2008
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