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Kathryn Deriso

NPI 1154780096 · on the registry since 2016 · sole proprietor

Practice

Address
28 Nathan Hale Dr
Apt 73a
Huntington, NY 11743
Phone
(631) 926-2199

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York