Individual
KATHLEEN VOLLGRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
888 VETERANS MEMORIAL HWY, SUITE210, HAUPPAUGE, NY 11788-2950
(631) 232-6030
Mailing address
35 SMITH ST, NESCONSET, NY 11767-3337
(631) 467-4226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
447776
NY
163WG0600X
Gerontology Registered Nurse
447776
NY
163WH0200X
Home Health Registered Nurse
Primary
447776
NY
163WM0705X
Medical-Surgical Registered Nurse
447776
NY
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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