Individual
KATHERINE CHANGTRORALEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29 ELM ST, GREENVALE, NY 11548-1106
(516) 492-7521
Mailing address
29 ELM ST, GREENVALE, NY 11548-1106
(516) 492-7521
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
855624-01
NY
Other
Enumeration date
09/29/2025
Last updated
10/24/2025
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