Provider Demographics
NPI:1861912271
Name:BUELE, KARINA JOHANNA (SC)
Entity type:Individual
Prefix:MS
First Name:KARINA
Middle Name:JOHANNA
Last Name:BUELE
Suffix:
Gender:F
Credentials:SC
Other - Prefix:MS
Other - First Name:KARINA
Other - Middle Name:JOHANNA
Other - Last Name:AGUAIZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7000 AUSTIN STREET
Mailing Address - Street 2:#200
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2050
Mailing Address - Country:US
Mailing Address - Phone:347-418-7280
Mailing Address - Fax:
Practice Address - Street 1:7000 AUSTIN ST STE 200
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4739
Practice Address - Country:US
Practice Address - Phone:347-418-7280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator