Individual provider · Type 1 NPI

Katelyn Quiroga

Student in an Organized Health Care Education/Training Program · Smithtown, NY

NPI number 1013611102 Active

Practice location

732 Smithtown Byp Ste 303
Smithtown, NY 11787-5020

Mailing address

277 Easton St
Ronkonkoma, NY 11779-6127

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013611102

Katelyn Quiroga's National Provider Identifier is 1013611102, issued on Mar 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Smithtown, NY. The record was last updated on Mar 30, 2023.