Basic Information
| Provider Information | |||||||||
| NPI: | 1427377506 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESTRELLA HERRERA | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4422 THIRD AVENUE | ||||||||
| Address2: | ST BARNABAS HOSPITAL, DEPARTMENT OF PEDIATRICS | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189609331 | ||||||||
| FaxNumber: | 7189603792 | ||||||||
| Practice Location | |||||||||
| Address1: | 4422 THIRD AVENUE | ||||||||
| Address2: | ST BARNABAS HOSPITAL, DEPARTMENT OF PEDIATRICS | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7189609331 | ||||||||
| FaxNumber: | 7189603792 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2010 | ||||||||
| LastUpdateDate: | 10/12/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208000000X | 266616 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.