Individual
MRS. KATHLEEN DEFRUSCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
234 SCHUURMAN RD, CASTLETON, NY 12033-3221
(518) 207-2644
Mailing address
234 SCHUURMAN RD, CASTLETON, NY 12033-3221
(518) 207-2644
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
388340-1
NY
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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