Individual
KATHRYN PAGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-5020
(212) 305-4981
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-5155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
603005
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
430742
NY
Other
Enumeration date
08/12/2014
Last updated
03/22/2016
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