Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATRINA RUTH STIDHAM, M.D.
Active Sole ProprietorDR. KATRINA RUTH STIDHAM, M.D. is a Otolaryngic Allergy healthcare provider located in HAWTHORNE, New York. NPI 1508952219 is currently active in the NPPES registry. Verify at CMS.
Otolaryngic Allergy · HAWTHORNE, NY
Registration Details
- NPI Number
- 1508952219
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 4, 2006 (19.886531131086 yrs)
- Last Updated
- Jul 7, 2021
- License
-
250862 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19 BRADHURST AVE STE 3100NHAWTHORNE, NY, 105322140Browse NY providers · Browse ZIP 10532
- Phone
- 9146937636
- Primary Specialty
-
Otolaryngic Allergy
207YX0901X
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.