Individual
CATHERINE NIYADA PETCHPRAPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 E 17TH ST, ROOM 600, NEW YORK, NY 10003-3804
(212) 598-6373
(212) 598-6125
Mailing address
301 E 17TH ST, ROOM 600, NEW YORK, NY 10003-3804
(212) 598-6373
(212) 598-6125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
224929
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02330945
—
NY
Enumeration date
05/28/2006
Last updated
11/04/2011
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