Basic Information
Provider Information
NPI: 1225414949
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHMIDT
FirstName: KARA
MiddleName:  
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Credential:  
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Mailing Information
Address1: 150 55TH ST
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112202508
CountryCode: US
TelephoneNumber: 7186307000
FaxNumber: 7186308515
Practice Location
Address1: 150 55TH ST
Address2:  
City: BROOKLYN
State: NY
PostalCode: 112202508
CountryCode: US
TelephoneNumber: 7186307000
FaxNumber: 7186308515
Other Information
ProviderEnumerationDate: 08/04/2015
LastUpdateDate: 09/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 09/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X2940311NYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XUO3955FLN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X294031NYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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