Individual
KATLIN MAY ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4 ROSA CT, CENTEREACH, NY 11720-4382
(631) 335-7077
Mailing address
4 ROSA CT, CENTEREACH, NY 11720-4382
(631) 335-7077
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311853
NY
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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