Individual
KAREN LISA ANTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
177 FORT WASHINGTON AVE FL 7, NEW YORK, NY 10032-3733
(212) 305-6003
Mailing address
173 FORT WASHINGTON AVE, NEW YORK, NY 10032-3739
(212) 305-6003
(212) 305-7439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16647200
NJ
363L00000X
Nurse Practitioner
308655
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308655
NY
Other
Enumeration date
03/02/2017
Last updated
06/07/2023
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