Individual provider · Type 1 NPI

Kathryn Deriso

Specialist · Huntington, NY

NPI number 1154780096 Active

Practice location

28 Nathan Hale Dr, Apt 73A
Huntington, NY 11743-7035

Call (631) 926-2199 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1084415 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154780096

Kathryn Deriso's National Provider Identifier is 1154780096, issued on Feb 21, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Huntington, NY. The record was last updated on Feb 21, 2016.