Individual
KATHERINA CARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAT PERMIT PEND
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 485-2100
(718) 485-2101
Mailing address
25280 LEEDS RD, LITTLE NECK, NY 11362-1847
(718) 224-4391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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