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Individual

DR. KATHARINE R DETRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP

Contact information

Practice address
1075 BROADWAY, PLEASANTVILLE, NY 10570-2346
(914) 773-6950
Mailing address
15 CREST DR, WHITE PLAINS, NY 10607-2701

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402250
NY

Other

Enumeration date
08/01/2017
Last updated
08/01/2017
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