Individual provider · Type 1 NPI
Katherine Antzoulatos, DPM, RD, CDN
Primary Podiatric Medicine Podiatrist · Whitestone, NY
NPI number
1366908139
Active
Practice location
915 150th St
Whitestone, NY 11357-1653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | 1000889 (NY) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | N004198 (NY) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1366908139
Katherine Antzoulatos, DPM, RD, CDN's National Provider Identifier is 1366908139, issued on Feb 15, 2019. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Whitestone, NY. The record was last updated on Feb 15, 2019.