Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHERINE ANTZOULATOS, DPM, RD, CDN
Active Sole ProprietorKATHERINE ANTZOULATOS, DPM, RD, CDN is a Radiology Podiatrist healthcare provider located in WHITESTONE, New York. NPI 1366908139 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · WHITESTONE, NY
Registration Details
- NPI Number
- 1366908139
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2019 (7.5205641352966 yrs)
- Last Updated
- Feb 15, 2019
- Licenses
-
1000889 (NY)N004198 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
915 150TH STWHITESTONE, NY, 113571653Browse NY providers · Browse ZIP 11357
- Phone
- 3476420315
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Radiology Podiatrist
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.