Individual
KATHLEEN CULLEN-KORTLEVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
329 E 62ND ST, NEW YORK, NY 10065-7769
(914) 473-2219
(718) 885-1255
Mailing address
329 E 62ND ST, NEW YORK, NY 10065-7769
(914) 473-2219
(718) 885-1255
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400595
NY
Other
Enumeration date
05/01/2007
Last updated
11/20/2018
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