Individual
KATHRYN E. NILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
1250 WATERS PL, TOWER ONE, SUITE 702, BRONX, NY 10461-2720
(718) 892-1103
Mailing address
1250 WATERS PL, TOWER ONE, SUITE 702, BRONX, NY 10461-2720
(718) 892-1103
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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