Individual provider · Type 1 NPI

Katherine Ferra Pradas, MD

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

NPI number 1104677327 Active

Practice location

75 N Country Rd
Port Jefferson, NY 11777-2119

Call (786) 768-4982 Map

Mailing address

70 Commodore Cir
Port Jefferson Station, NY 11776-2298

Specialties and licenses

TaxonomyCodeLicense
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 1104677327

Katherine Ferra Pradas, MD's National Provider Identifier is 1104677327, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Jefferson, NY. The record was last updated on Mar 27, 2024.