Provider Demographics
NPI:1144553348
Name:KARAVAS, DENISE M (PA)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:KARAVAS
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Gender:F
Credentials:PA
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Mailing Address - Street 1:496 COUNTY ROAD 111
Mailing Address - Street 2:BUILDING B
Mailing Address - City:MANORVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11949-3341
Mailing Address - Country:US
Mailing Address - Phone:631-405-3200
Mailing Address - Fax:631-395-6010
Practice Address - Street 1:496 COUNTY ROAD 111
Practice Address - Street 2:BUILDING B
Practice Address - City:MANORVILLE
Practice Address - State:NY
Practice Address - Zip Code:11949-3341
Practice Address - Country:US
Practice Address - Phone:631-405-3200
Practice Address - Fax:631-395-6010
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2013-09-20
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Provider Licenses
StateLicense IDTaxonomies
NY013359363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant