Individual
KATHLEEN SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(860) 532-9299
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(860) 532-9299
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
060307
NY
1223P0221X
Pediatric Dentistry
060307
NY
Other
Enumeration date
01/22/2014
Last updated
03/12/2025
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