Individual
KATIUSKA TAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
869 EASTERN PKWY, 4B, BROOKLYN, NY 11213-3561
(718) 812-4803
Mailing address
869 EASTERN PKWY, 4B, BROOKLYN, NY 11213-3561
(718) 812-4803
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
309294-1
NY
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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