DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHRYN DERISO

Active Sole Proprietor

KATHRYN DERISO is a Specialist healthcare provider located in HUNTINGTON, New York. NPI 1154780096 is currently active in the NPPES registry. Verify at CMS.

Specialist · HUNTINGTON, NY

Registration Details

NPI Number
1154780096
Provider Type
Individual
Gender
Female
NPI Issued
Feb 21, 2016 (10.467865994123 yrs)
Last Updated
Feb 21, 2016
License
1084415 (NY)
Sole Proprietor
Yes

Practice Information

Address
28 NATHAN HALE DR
APT 73A
HUNTINGTON, NY, 117437035
Browse NY providers · Browse ZIP 11743
Phone
6319262199
Primary Specialty
Specialist
174400000X

Other Specialist Providers in HUNTINGTON, NY

Name Credential NPI
DR. RICHARD GARY DAVIS M.D. 1699771584
MICHAEL BRECHER M.D. 1346246147
DR. DANIEL WARREN SHERER M.D. 1477548261
ALBERT DAURO MD 1902892961
ALAN MICHAEL KISNER M.D. 1790766673
DR. NOLAN DAVID TZOU M.D. 1699751057
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.