Search › New York › 174N00000X
Katherine Koncelik, CBD, CPD, CLC
NPI 1477876480 · on the registry since 2010 · sole proprietor
Practice
- Address
- 112 Jefferson St
East Islip, NY 11730 - Phone
- (631) 581-1066
Registry record
- Primary taxonomy
- 174N00000X
174N00000X
- Also registered as
- 374J00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-29
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