Marisak, Karen
Marisak, Karen is an sole proprietor health care provider with primary practice located at 20 W 86Th St Suite 1Aa, New York NY 10024-3604. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Marisak, Karen can be contacted via phone (212) 874-6487.Contact Information
Primary practice address
20 W 86Th St Suite 1Aa
New York NY 10024-3604
Phone: (212) 874-6487
Fax: (212) 866-7737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 006694 | New York |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 006694 | New York |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 006694 | New York |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 006694 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 006694 | New York |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 006694 | New York |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 006694 | New York |
| Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | 006694 | New York |
Profile Details
| NPI number | 1346454279 |
|---|---|
| LBN Legal business name | Marisak, Karen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346454279 | NPPES |
| New York | Other | P590762 | OXFORD PROVIDER ID |
| New York | MEDICAID | 01459828 | OXFORD PROVIDER ID |
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