Provider Demographics
NPI:1689985947
Name:ROSTON, KAREN LAURIE (DPS OTR/L)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LAURIE
Last Name:ROSTON
Suffix:
Gender:F
Credentials:DPS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 W 104TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-4249
Mailing Address - Country:US
Mailing Address - Phone:212-222-5024
Mailing Address - Fax:
Practice Address - Street 1:245 W 104TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-4249
Practice Address - Country:US
Practice Address - Phone:212-222-5024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007451-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics