Individual
MRS. KATHARINE ADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
1315 YORK AVE, MEZZANINE, NEW YORK, NY 10021-5304
(212) 746-5077
Mailing address
5 SUTTON ST, APT PH, BROOKLYN, NY 11222-5142
(845) 269-5072
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014248-1
NY
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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