Individual
KATRINA LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 W 77TH ST APT 15B, NEW YORK, NY 10024-6786
(917) 214-0962
Mailing address
227 W 77TH ST APT 15B, NEW YORK, NY 10024-6786
(917) 214-0962
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
655881
NY
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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