Individual
KATHERINE BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E MAIN ST, 902, KINGS PARK, NY 11754-6050
(516) 413-5766
Mailing address
PO BOX 902, RURAL ROUTE 25A, KINGS PARK, NY 11754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
340694
NY
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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