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KARISSA LYNN KOERNER
NPI 1073945580
Specialist in Bay Shore, NY

Active since August 07, 2013
179 SPUR DR S, BAY SHORE, NY 11706(631) 666-5762 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karissa Lynn Koerner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARISSA LYNN KOERNER (NPI 1073945580) is an individual specialist in Bay Shore, New York, licensed in New York (695120121) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1073945580
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKARISSA LYNN KOERNER
Location Address179 SPUR DR SBay Shore, NY 11706-3908
Mailing Address179 Spur Dr SBay Shore, NY 11706-3908 · (631) 666-5762
Phone(631) 666-5762
Sole ProprietorYes
Enumeration DateAugust 7, 2013
✔ NPI 1073945580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 695120121
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
179 SPUR DR S, Bay Shore, NY 11706
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karissa Koerner's NPI number?

The NPI number for Karissa Koerner is 1073945580. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Where is Karissa Koerner located?

Karissa Koerner practices at 179 Spur Dr S, Bay Shore, NY 11706. The listed phone number is (631) 666-5762.

What is Karissa Koerner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Karissa Koerner was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.