Individual
KATHERINE CHRISTINE HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
675 3RD AVE FL 5, NEW YORK, NY 10017-5731
(212) 922-1001
Mailing address
2199 HOLLAND AVE, BRONX, NY 10462-1782
(646) 574-4738
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
728640
NY
Other
Enumeration date
06/30/2017
Last updated
04/15/2019
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