Individual
KATIE KWASCHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1214 VAUGHN RD, BURLINGTON, NC 27217-2863
(336) 532-0000
Mailing address
150 EILEEN WAY UNIT 1, SYOSSET, NY 11791-5313
(516) 855-5255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
209975
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
291341
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2011
Last updated
12/17/2021
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