Provider Demographics
NPI:1902136997
Name:SEIBLE, KARINE MARIE
Entity Type:Individual
Prefix:MRS
First Name:KARINE
Middle Name:MARIE
Last Name:SEIBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1672 FOXGLOVE RD
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-1101
Mailing Address - Country:US
Mailing Address - Phone:516-833-5369
Mailing Address - Fax:
Practice Address - Street 1:1672 FOXGLOVE RD
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-1101
Practice Address - Country:US
Practice Address - Phone:516-833-5369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229832-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse