Individual
KATRINA IMPRESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6860 AUSTIN ST STE 307, FOREST HILLS, NY 11375-4223
(718) 880-1716
Mailing address
4150 78TH ST APT 308, ELMHURST, NY 11373-1903
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
043971
NY
208100000X
Physical Medicine & Rehabilitation Physician
26800
MD
Other
Enumeration date
03/14/2021
Last updated
03/14/2021
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