Provider Demographics
NPI:1881963189
Name:OATES, KAREN ANN (DSW)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:OATES
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 W 56TH ST STE 15B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3841
Mailing Address - Country:US
Mailing Address - Phone:845-357-8586
Mailing Address - Fax:
Practice Address - Street 1:112 W 56TH ST STE 15B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3841
Practice Address - Country:US
Practice Address - Phone:845-357-8586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0396631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical