Individual provider · Type 1 NPI

Catie Ann Theresa Kwak

Specialist · Clinton, NY

NPI number 1194687954 Active

Practice location

19 Robinson Rd
Clinton, NY 13323-1418

Call (315) 853-6090 Map

Mailing address

PO Box 198
Victory Mills, NY 12884-0198

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X704280 (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 1194687954

Catie Ann Theresa Kwak's National Provider Identifier is 1194687954, issued on Dec 1, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Clinton, NY. The record was last updated on Dec 1, 2025.